Registration

Student's First Name*

Student's Last Name*

Student's Birthday*

Student's Gender*

Girl

Boy

Class Choice*

3's AM (9:30-11:45) $115/month

3's PM (12:15-2:30) $115/month

4's AM (9:30-11:45) $150/month

4's PM (12:15-2:30) $150/month

Parent's Names*

Parent's Phone Numbers*

Home Address*

Your Email*

Emergency Contact's Name*

Emergency Contact's Phone Number*

Student allergies and/or special needs*

I understand that my child must be fully potty trained by the first day of school. He/She must be able to recognize the need to use the bathroom and be able to dress and un-dress independently for bathroom use. Accidents do happen, and in such cases, the parent/guardian will be notified.*

Agree

My preschooler is fully potty trained or will be before schoolstarts in August.*

Agree

Preferred class time not guaranteed. Time preference will be granted on a first come, first served basis and will be based on availability. Your spot and time are reserved once this document is submitted AND the registration fee is paid in full.

Agree

I agree to pay the monthly tuition of by the first of the month for each month of the school year (Sept-May). Tuition is paid in advance for the upcoming month and it is non-refundable. Tuition is payable by cash, check (made out to Katie Springer), Cash App ($katiespringer33), or Apply Cash (801-380-7516). If tuition is not received by the 5th of the month, a late fee of $5 will be added to that month’s tuition. If tuition is not received by the 15th of the month, an addition late fee of $15 will be added to that month’s tuition. If tuition is not paid in full by the last day of the month, Miss Katie reserves the right to suspend the child until all tuition and late fees have been paid, to ask for several months of advance payment, or to terminate the enrollment of the child in Katie’s Korner Preschool.*

Agree

I give permission for my child to participate in school activities and will not hold the school or Katie Springer responsible for any injuries or accidents that may occur at the school or on its property. *

Agree

By checking this box I am signing and hereby agree to all of the information above. I understand that by signing this contract and paying the registration fee I am enrolling my child in Katie’s Korner Preschool.*

Agree

Registration Form

3's Class (must be 3 years old before Sept 1) $115/month

4's Class (must be 4 years old before Sept 1) $150/month

Registration Fee $75 (non-refundable)