1700 Napa Valley Drive - Little Rock, AR, 72212
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accdc-registration-form
ACCDC Registration Form
Student Name
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Gender
*
Male
Female
Nickname
Date of Birth
*
Current age:
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Mother's Name:
Father's Name
Mother's Cell Phone
Father's Cell Phone
Home Phone
Primary phone number to be used
Primary email address to be used
Address
Street Address
Address Line 2
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Current Church Member **Active Members of Asbury United Methodist Church receive 10% off monthly tuition & $25 off registration fee
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Yes
No
Choose which program your child would attend.
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Full Day Preschool: Infant-Pre K, Mon. to Fri., 7:30 am to 5:30 pm, Monthly Tuition - $645, Infant $685, Bi-Annual Material fee $75 (due in Sept & Jan.), Annual Registration Fee $175.
5 Day Preschool: Infant-Pre K, Mon. to Fri., 8:30 am to 3:00 pm, Monthly Tuition - $545, with early drop off option at 8:00 am - $590, Infant $585 with 8 am early drop off $630, Bi-Annual Material fee $75 (due in Sept & Jan.), Annual Registration Fee $175.
3 Day Preschool: Infant-Pre K, Mon-Wed-Fri, 8:30 am to 3:00 pm, Monthly Tuition - $330, with early drop off option at 8:00 am - $360, Bi Annual Material fee $65 (due in Sept & Jan.), Annual Registration Fee $175.
2 Day Preschool: Infant-Pre K, Tues-Thurs, 8:30 am to 3:00 pm, Monthly Tuition - $220, with early drop off option at 8:00 am - $245, Bi Annual Material fee $55 (due in Sept & Jan.), Annual Registration Fee $175.
Transitional Kindergarten will be offered if there is a need and sufficient number of students to sustain a class. This class if offered for children that are eligible to go to Kindergarten; however, the parents have decided to postpone for a year. Some children benefit from the additional time to socially mature and develop skills necessary for Kindergarten. Please indicate below if you are interested in your child attending a Transitional Kindergarten class.
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Yes
No
The two sections below are to be completed at the ACCDC office. Effective January 2, 2018 there will be a $10 monthly fee for payment made with a credit or debit card.
To guarantee your child a place in ACCDC for the school year 2018/2019, the following are required:
1. the NON-REFUNDABLE registration fee of $175
2. payment of half of August tuition is due by February 16, 2018.
3. acceptance of Registration Agreement (below)
Registration Agreement: It is agreed that tuition will be paid on the first of each month and if not paid by the 10th of each month a $25 late fee will be charged. The material fees will be paid in September and January before the 10th of the month. I understand that all fees are non-refundable and non-transferable should my child not participate the program which we have registered to attend. (Parent's Signature below)
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