ACCDC Fall 2014 Online Enrollment Form

Student Name*

Gender*

Nickname

Date of Birth*

Current age:*

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 City State ZIP Code

Current Church Member **Active Members of Asbury United Methodist Church receive 10% off monthly tuition & $25 off registration fee*

Yes
No

Choose which program your child would attend.*

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.*

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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New and exciting improvements coming to ACCDC in Fall 2014!

ACCDC Fall 2014 Online Enrollment Form

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.