Ages 2-5 years

Date*

Name of Applicant*

First Name Last Name

Child's Name*

First Name Last Name

Child's Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Phone Number

Area Code Phone Number

Birth Date*

Month Day Year

Birth Place*

Aleph Preschool is open Monday– Friday

Half Day 8:30 AM-12:30 PM
Full Day 8:30 AM-2:45 PM

A late pick-up fee of $25 will be charged to your account if your child is picked up more than 10 minutes after his/her scheduled time.

Tuition is based upon a yearly schedule. Tuition is the same each month September-August even if there are days off due to holidays or sickness. At signing of contract, the first month and last month’s tuition is due. Summer Tuition is paid per session.

Full Days: 8:30 am - 2:45 pm Select days needed to indicate your planned schedule.

Half Days: 8:30 am - 12:30 pm Select days needed to indicate your planned schedule.

Father's Name

First Name Last Name

Father's E-mail

Father's Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Father's Phone Number

Area Code Phone Number

Father's Occupation

Father's Business Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Mother's Name

First Name Last Name

Mother's E-mail

Mother's Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Mother's Phone Number

Area Code Phone Number

Mother's Occupation

Mother's Business Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Payment:*

Deposit.

Registration fee:

$600.00

Payment

Credit Card

We accept Visa, MasterCard, American Express, Discover
Credit Card Number	Security Code
Name on Card
Expiration Month	Expiration Year

Billing Address

Street Address

City

State / Province

Postal / Zip Code

Country

Application for Preschool Registration

Ages 2-5 years

Student's Information

Tuition Schedule and Fees

Enrollment Information

Family Information