Registration Form

Waynedale United Methodist Preschool

2020/2021 School Year
(Please fill out the following form and return it to the preschool office with the $55.00 reg. fee)
Today’s Date _____________________
Child’s Name _________________________________
Child’s Birthdate ____________ Gender: (circle one)  Male    Female
Father’s Name ________________________________
Mother’s Name________________________________
Address __________________________ Zip Code ____
Father’s Cell ____________Mother’s Cell _____________


Two year old program:  $100 month   Tues & Friday                  9:00 – 11:30_____
* Three year PreK program: $130 month   Mon-Wed-Thur        9:00 – 11:30 _____
* Four year PreK program:   $140 month  Mon thru Thur             9:00 – 11:30 _____
* Five year PreK program:   $140 month  Mon thru Thur              9:00 – 11:30 _____
*Four/Five year PreK Academic Enrichment Program                   9:00 –  3:00 _____
 $260 month  Mon thru Thur

*The Birthday cut off for each age level is September 1st.

Tuition costs are figured on a yearly basis and divided into nine monthly payments for your convenience.  Payments are due on the 1st of each month.

There will be an “early bird discount” of $10.00 for those registering before June 1st.   *Extended to July 1st.

I understand that the $55.00 registration fee secures my child’s place on the enrollment list and is non refundable.

Parents Signature __________________________________________
Mail to:   Waynedale United Methodist Preschool
2501 Church Street
Fort Wayne, IN  46809