SMCC Nursery School FALL 2023-2024 NEW Students Registration

REGISTRATION FOR SMCCNS ENROLLMENT. Please submit this form, and corresponding fee, in order to enable your child to enroll in Fall 2023/2024 Session - THIS FORM IS FOR NEW STUDENTS ONLY!

Fall 2023/2024 Session: August 14, 20223 - May 31, 2024
Registration Fee is $150 per student - This is a non-refundable fee.

Tuition Fees are separate - due upon enrollment for a specific class.

Child's Last Name, First

Gender

Please select one option.

Male Female

Date of Birth

Age in Aug 2023 (Yrs., Mos.)

Home Address

This address will receive a confirmation email

Father's Full Name

Father's Business Phone or Cell Phone

Mother's Full Name

Mother's Business Phone or Cell Phone

Indicate a 2nd and 3rd choice only if it is a workable option.

I am registering for:

My 1st choice is:

Please select one option.

M-F days ~ 9:00 am - 12:00 noon M/W/F days ~ 9:00 am - 12:00 noon T/TH days ~ 9:00 am - 12:00 noon

My 2nd choice is:

Please select one option.

M-F days ~ 9:00 am - 12:00 noon M/W/F days ~ 9:00 am - 12:00 noon T/TH days ~ 9:00 am - 12:00 noon

My 3rd choice is:

Please select one option.

M-F days ~ 9:00 am - 12:00 noon M/W/F days ~ 9:00 am - 12:00 noon T/TH days ~ 9:00 am - 12:00 noon

Estimated Schedule:

Arrival Time (AM):

Pick-up Time (PM):

Payment $150 Non-Refundable Fee

Credit/Debit Card Number

Expiration Date/CVC

Name on Card

Card Billing Address

SMCC Nursery School FALL 2023-2024 NEW Students Registration

Description

Please Fix the Following