Secure your spot in the Wesley Kindergarten Enrichment Program by completing the pre-registration form below and return it with a non-refundable registration fee of $50 and a deposit equal to one week’s tuition made payable to Wesley Child Care Center. Deposits are refundable until June 1, 2008.
Registration form must be turned in or mailed to:
Wesley Child Care, Attn: JENNIFER QUINTAS
727 Harlem Avenue, Glenview, IL 60025
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Child’s Name (First)________________________ (Last)__________________
Dist. 34 School _________________ KDG: A.M. or P.M. or Unknown (Circle One)
If unknown, please call as soon as you know.
Parent(s) Name___________________________________________________
Address ________________________________________________________
Home Ph# ________________________ Work Ph# _____________________
Cell/ Pager _______________________ E-Mail ________________________
- Enrollment Options (check one):
_____ 5 days/ wk, ______ 4 days/ wk, _______ 3 days/ wk, _______ 2 days/ wk
Weekly Tuition Amount: $_______________________________
Please circle the days in which you need care:
Mon. Tues. Wed. Thurs. Fri.
My child will be enrolled in District 34:
____ A.M. Kindergarten
____ P.M. Kindergarten
____ ALL-DAY Kindergarten (Children who are enrolled in the EIK Kdg. program)
My child will need childcare during the following hours each day: _______________________________________________________
Deposit Enclosed:
Weekly Tuition Fee ____________ + Reg. Fee ___$50.00__ = _________
CHECK # _________________
Please enroll my child in Wesley Kindergarten Enrichment Program. I have enclosed the required non-refundable registration fee & a deposit equal to one week’s tuition, which will be applied to the last week of Wesley Kindergarten. I understand the enrollment for this program is based on first come, first served, with a limited enrollment. I am aware that District 34 determines my child’s A.M. or P.M. section. Deposits are refundable until June 1, 2008. I understand that once starting the program, if I wish to withdrawal my child from the program, a one-month’s notice is required. I understand if a one-month’s notice is not given, my deposit is forfeited and may not be used towards my outstanding balance.
Parent Signature ___________________________Date _________________
Please note: Those who are not accepted will be notified and will receive a complete refund.