Application

 

PROGRAM PREFERENCE AND TUITION FORM

*School Year:
*Parent/Guardian Name:
*Address:
*Telephone:
*Student's Name:
*Email:
Program Preference:

Pre Kindergarten (2.9+ years of age)

Before and After School Care
$7 per hour  |  $3.50 per half hour  |  $1.75 per quarter hour
 7:30-8:30 AM 2:30-5:30 PM

If pick up is delayed more than 10 minutes an additional charge of $1.75 will be assessed for each quarter hour or part thereof thereafter; after 5:30PM the fee will be $5.00.

 

TUITION PAYMENT AGREEMENT FORM

*School Year:
*Student's Name:

In accord with the program option selected for my child, I agree to pay the following to Holy Trinity School:

*Total annual tuition:
*Less 10% deposit of:
*Balance due:
*Monthly Payment:
8/15
9/15
10/15
11/15
(12/15)
1/15
2/15
3/15
4/15
5/15
(6/15)

(Those whose tuition payments are up-to-date may opt to omit the payment in December and continue payment through June.)

My child will require  (before) (after) school care which I agree to pay at the
rate of $7 per hour, $3.50 per half hour or $1.75 per quarter hour.

*Date:
*Parent/Guardian Name:

 

PRE-KINDERGARTEN APPLICATION

Program: (please check)
 PreK Tue/Thu 8:30-12:30 PreK Tue/Thu 8:30-2:30 PreK Mon/Wed/Fri 8:30-12:30 PreK Mon/Wed/Fri 8:30-2:30 PreK Mon-Fri 8:30-12:30 PreK Mon-Fri 8:30-2:30 Extended Care AM Extended Care PM

*School Year:
*Child's Name:
*Date of Birth:
*Sex:  Female Male
*Telephone:
*Address:

*Physician's Name:
*Physician's Telephone:
Allergies/Special diets:
Chronic health conditions:
Special limitations or concerns:
Previous Pre-School or Day Care:

 

PARENT/GUARDIAN INFORMATION

*Mother/Guardian's Name:
*Home Telephone:
Work Telephone:
Cell Telephone:
*Email:
Occupation:
Place of Employment:
Religion/Parish:
*Address:

Father/Guardian's Name:
Home Telephone:
Work Telephone:
Cell Telephone:
Email:
Occupation:
Place of Employment:
Religion/Parish:
Address:

 

*Date:
*Parent/Guardian Name:

 

 I agree to send in the following upon submission of this form:

  • 10% Deposit (5% refundable)
  • Copy of current immunization record/medical form
  • Program Selection and Tuition Agreement
  • Certified Birth Certificate

Please leave this field empty.


*Required