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The Learning Garden
141 E. Kay Street
Derby KS 67037
788-7994
Registration Form for 2008 - 2009 School Year
Registrations for enrollment
MUST be in writing and are taken on a FIRST COME, FIRST SERVED BASIS.
Mailing this form with the registration fee to the above address gets your
child’s name on the class list. You will be sent a contract and other forms
when we receive this form and registration fee. The slot is not guaranteed until
we receive the CONTRACT with the TUITION DEPOSIT. BE SURE TO NOTE the date these forms (contract, etc.)
are due. This date is located at the top of the contract.
All children MUST be potty
trained! Children must have reached their 3rd, 4th, or 5th birthdays by Sept. 1 to
enroll in the respective classes. 2
˝ year olds must be 30 months by the first day they attend class.
The registration fee is $40.00 for the 1st child, $30 for each additional child, and is NON-REFUNDABLE. A separate Registration Form is required for each child.
Monthly tuition will be due
the 1st and past due after the 10th of each month (Sept. – May): The rates are $70.00 per child for 2 half
days/week,
$102.00 per child for 3 half days/week, $164.00 for 5 half days. Snacks, most supplies, and field trips are
covered by the tuition. Some scholarships are available based on need. Please
check with the office for details. Because we are an independent private school
and not subsidized by a church, we use various fundraisers throughout the
year to help defray costs. Your participation in these is voluntary.
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Detach and return this portion to the
school
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2 ˝ year olds |
TTH mornings |
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3 year olds |
TTH mornings MWF mornings |
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4 year olds |
TTH mornings MWF mornings |
MTWThF mornings
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5 year olds * |
MWF mornings |
MTWThF mornings |
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* By permission of Director |
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Indicate your preference (1st
and 2nd choices) from the days and times above: (Please PRINT all
information)
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First Choice: |
Second Choice: |
CHILD’S NAME, first and last
________________________________ Date of Birth __________
PARENTS’ NAMES, first and
last
__________________________________________________
STREET ADDRESS
____________________________________________________________
CITY, STATE, ZIP
______________________________________________________________
PHONE NUMBER
____________________________
FOR OFFICE USE ONLY:
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Date mailed: |
Date returned: |
Date forms sent: |
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Date due back: |
Check #: |
Amount: |
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Input date: |
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