2017-2018 Preschool Registration Form New England Preschool 406 W. Galena Blvd., Aurora, IL 60506 630.897.8731 2017-2018 Preschool Registration Form Child’s Name: ____________________________________________________ Birthdate: _____________________________ BOY or GIRL (circle one) Parent/Guardian Name(s): _________________________________________________________________________________ Mailing Address: _________________________________________________________________________________________ Email: ___________________________________________________________________________ Home Phone: _________________________ Alternate Phone: ____________________________ Are you members of New England Congregational Church? YES or NO PLEASE INDICATE YOUR FIRST AND SECOND CLASS CHOICE BELOW. Note: The child must be the age of the class by the starting date. IMPORTANT: A current physical form including an updated immunization record will be required by the first day of school for all new students. 4 & 5 YEAR-OLD CLASSES ____ 5-Day Morning Class: 9:00 – 11:45 a.m. (M-F) Tuition: $250/month Class Name: Bluebirds ______ 3-Day Morning Class: 9:00 – 11:45 a.m. (M-W-F) Tuition: $200/month Class Name: Redbirds (class of 20) Orange Birds (class of 10) . 3 YEAR-OLD CLASSES ______ 3-Day Morning Class: 9:00 – 11:45 a.m. (M-W-F) Tuition: $200/month Class Name: Robins ______ 2-Day Morning Class: 9:00 – 11:45 a.m. (Tues./Thurs.) Tuition: $160/month Class Name: Wrens 2 ½ AND YOUNG 3 YEAR-OLD CLASS Two day a week class for 2 ½ year-olds and new 3 year-olds who are potty trained and ready for an early introduction to school. This class well be offered with a minimum enrollment of 4 students. ______ 2-Day Morning Class: 9:00 – 11:45 a.m. (Tues./Thurs.) Tuition: $160/month Class Name: Sparrows Return this form along with your check for $65 (non-refundable) made payable to New England Preschool and marked for 2017-2018 registration. THANK YOU!