Tuition Rate and Enrollment Form
Monthly Tuition Rates
5 full days per week $525.00
5 half days per week $305.00
4 full days per week $450.00
4 half days per week $250.00
3 full days per week $360.00
3 half days per week $180.00
2 full days per week $240.00
2 half days per week $130.00
Full day sessions are from 7 a.m. to 6 p.m. and include childcare, preschool, snacks and lunch Monday through Thursday. Students will bring cold lunch on Fridays.
Preschool sessions are three (3) hours, beginning at 8:30 a.m. to 11:30 a.m. and include snack.
How to Enroll
Please fill out the information on the reverse side of this form and return to St. Paul’s Lutheran Early Childhood Center, 1500 North 16th Street, Council Bluffs, IA 51501-0150.
Note: To reserve a place for your child at St. Paul’s Lutheran Early Childhood Center it is necessary to accompany this form with a $150 non-refundable registration fee.
Holiday Closings
New Year’s Eve Day close @12:00 PM Thanksgiving Day
New Year’s Day Friday after Thanksgiving Day
Memorial Day Christmas Eve Day
Independence Day Christmas Day
Labor Day
Highlights of St. Paul’s Lutheran Early Childhood Center
Christ-Centered Environment Certified Teachers
3 Hour Preschool Literacy-Based Instruction
Creative Curriculum by Teaching Strategies Ongoing Individual Assessment
Daily Fine/Gross Motor Activities Lunch/Snacks provided
Afternoon Enrichment Activities Extra Curricular Activities Available
Large Outdoor Play Area
St. Paul’s Lutheran Early Childhood Center
1500 North 16th St.
Council Bluffs, IA 51501-0150
Application for Enrollment
Last Name ______________________________ First Name __ Middle Name ________
Address ____ City _______ St Zip
Date of birth Place of birth _ Social Security No __ ___
Parent Information – marital status: q married q divorced q separated
Father
Last Name First Name Middle Name ____
Address __ City _______ St Zip
Home Phone Work Phone Cell Phone/Pager ____
E-mail address May we publish your phone numbers and e-mail address? Yes
q No qOccupation Employer Address ________
Does this child live with this parent/guardian? Yes
q No qMother
Last Name First Name Middle Name ___
Address _ City St Zip ________
Home Phone _ Work Phone _ Cell Phone/Pager ___
E-mail address May we publish your phone #’s and e-mail address? Yes
q No qOccupation Employer Address ________
Does this child live with this parent/guardian? Yes
q No qChurch Information
Family’s Church Membership _______________________________________________
Address, City, St, Zip ______________________________________________
School Information
Prior Preschool/Childcare ___ Address ___
Date requested for enrollment commencement _______________________________________________________________
Days requested:
q full day q Monday q Tuesday q Wednesday q Thursday q Friday q half day a.m. q Monday q Tuesday q Wednesday q Thursday q FridayApplicant’s Information
Medical concerns, special needs, or restrictions ___
How did you learn of St. Paul’s Lutheran Early Childhood Center? __________________________________________________
Are you aware that St. Paul’s Lutheran Early Childhood Center is a Christian-based daycare & preschool program?
q Y q NWe assume that both parents or both legal guardians have equal access to students and student records. If this is not true, please provide legal documentation stating otherwise.
I/We agree to support the teachers, administration, and policies of St. Paul’s Lutheran Early Childhood Center and to the financial responsibilities as stated in the handbook and fees schedule.
Father’s signature ___________________________ Date __________ Mother’s Signature __________________ Date _______