2008-2009 Before & After School Program Pre-Enrollment
Please complete the following and return it to Wesley’s Main Office at 727 Harlem Ave., Glenview
***SPACE IS LIMITED AND BASED ON FIRST COME FIRST SERVE BASIS***

Child's Name ____________________________________________________________________________
2008-2009 School Name __________________________________ Grade (as of 8/20/08)_____________
Parent/s Name __________________________________________________________________________
Address _______________________________________________________________________________
Home phone ________________________ Work phone ________________________ Cell_____________

BEFORE SCHOOL PROGRAM PRE-ENROLLMENT

Please check ONE of the following:
MORNING BEFORE SCHOOL PROGRAM (6:45 A.M. – 8:45 A.M.)
(Grades K, 1, 2, 3, 4, 5) 		_______ (5 days per week rate) $184.00 per month
_______ (4 days per week rate) $173.00 per month
_______ (3 days per week rate) $162.00 per month
_______ (2 days per week rate) $134.00 per month
_______ $15.00 per day (drop-in for occasional usage)
Please circle days of attendance (circle all that apply)
AFTER SCHOOL PROGRAM PRE-ENROLLMENT

Please check ONE of the following:

Intermediate School Program HOFFMAN, PLEASANT RIDGE, OR GLEN GROVE ONLY (2:30-3:15) _________
Intermediate School & Primary School Program (2:30-6:00) _________________________________
Primary School Service HENKING, LYON, OR WESTBROOK ONLY (3:30-6:00) ______________________

PLUS…. IF NEEDED
Late Service (6:00-6:30) _______________ (additional fee; $65.00 per month per child)
......................................................................................................
Please check ONE of the following: (For After School Only)
INTERMEDIATE SCHOOL PROGRAM ONLY (2:30-3:15)
(Grades 3, 4, 5) 		_______ (5 days per week rate) $170.00 per month
_______ (4 days per week rate) $162.00 per month
_______ (3 days per week rate) $155.00 per month
_______ (2 days per week rate) $110.00 per month
Intermediate School & Primary School Program (2:30-6:00)
(Grades 3, 4, 5)
_______ (5 days per week rate) $384.00 per month
_______ (4 days per week rate) $373.00 per month
_______ (3 days per week rate) $360.00 per month
_______ (2 days per week rate) $312..00 per month
Primary School Program ONLY ( Henking, Lyon, or Westbrook 3:30-6:00) (Grades 1, 2)
_______ (5 days per week rate) $323.00 per month
_______ (4 days per week rate) $310.00 per month
_______ (3 days per week rate) $299.00 per month
_______ (2 days per week rate) $245.00 per month
Please circle days of attendance (circle all that apply)
Current & New Child Registration Fee $50.00 per child

Your check must include: Non-refundable Registration/ Fee + Monthly Deposit Tuition Fee (Before School &/or After School Care)
(Deposits are refundable until July 1 st .)
Deposits will be cashed upon receipt and applied to May 2008 tuition. Please make checks payable to: Wesley Child Care Center .
$50 Registration Fee/ Child ____________________________
+
Before School Tuition _______________________ 10% discount for the 2nd child (older child receives discount)
+
After School Tuition _______________________10% discount for the 2nd child (older child receives discount)

=Total Fee Enclosed _______________________
**** Each child will receive a Wesley School Age Program T-shirt ****

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