$35 registration and materials fee Non refundable                                                                                              Registration form 2013-2014


                                                                               Leapz and Boundz Preschool 



Child's Name__________________________________ Birthday____________________


Age________ Allergies_______________________________


Parent/Guardian#1________________________________________ Home phone________________________


Address________________________________________ Cell phone__________________________


email__________________________________________


Parent/Guardian#2________________________________________ Home phone________________________


Address________________________________________ Cell phone__________________________


email__________________________________________


*Emergency contact________________________________________ Phone_________________________


child_________________________________



Who has permission to pick up your child?________________________________________________________________



Child's physician_____________________________ Phone_________________________



۞ Incase of serious injury, I understand LAB will call 911 and get the help needed for your child.


۞ I understand that tuition is due the 1st of every month. After the 5th of the month, a $15.00 late charge will be added.



Class you are enrolling you child in...circle one...

                    3 year olds

Class #1 Monday & Wednesday $60 a month


                  4 year olds

Class # 2 Monday, Wednesdays and Fridays $80 a month


* I understand that tuition is based on school days scheduled throughout the whole school year. Tuition will Not be prorated for months with Holidays.



Parent/guardian signature_______________________________ date__________