SMCC Nursery School SUMMER 2025 Student Registration

Child's Last Name, First

Gender

Male Female

Date of Birth

Age in June 9, 2025 (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:

My 2nd choice is:

My 3rd choice is:

Estimated Schedule:

Arrival Time (AM):

Pick-up Time (PM):

Payment $100 Non-Refundable Fee

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

Description

Summer Session (6 weeks session) June 9 - July 18, 2025

REGISTRATION FOR SMCCNS ENROLLMENT. Please submit this form; and the corresponding fee, in order to enable your child to enroll in the Summer 2025 Session.

Reminder! For applications to be accepted, you must submit a completed vaccination record. Visit our website for more information.

Summer Session: June 9 – July 18, 2025 (All dates are subject to change)
Registration Fee is $100 per student - This is a non-refundable fee.

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

SMCC Nursery School SUMMER 2025 Student Registration

Description

Please Fix the Following