Pre-Registration - Presby Kids

Child Information

Child's Name(Required)

First Last

Child's Age(Required)

Date of Birth(Required)

Child's Gender(Required)

Address(Required)

Street Address City State / Province / Region

Parent 1 Information

Name(Required)

First Last

Phone(Required)

Email(Required)

Parent 2 Information

Name(Required)

First Last

Phone(Required)

Email(Required)

Program of Interest

Please Select one(Required)

Where did you first learn of our Preschool and its programs?(Required)

Future Children Attending Presby - Names and Date of Births

Consent(Required)

I agree to pay a $150 Registration Fee with the main office once this form is submitted.

Emergency Information

Person/s Responsible for Child?(Required)

Does your child have allergies? If so, is an Epi-Pen required?(Required)

Does your child have any general health concerns?

Permission Form Information

6. I/We grant permission for First Presbyterian Church of Fairfield to email me/us with information related to church events.(Required)

Yes

Binding Tuition Agreement

Presby Kids happily pre-registers your child for the 2024-2025 School Year.

I understand that, when the 2024-2025 Tuition schedule becomes available, I will be notified as such and will be required to submit one month's tuition to finalize my child's registration with Presby Kids. Should I choose not to move forward with Enrollment at that time, I will forfeit my $150 Registration Fee.(Required)

Yes

I understand that after paying the $150 Enrollment Fee at pre-registration & one month’s tuition when the '24-'25 schedule is released, the second tuition installment will be due by June 1st, 2024. The balance, or next payment, is due on September 1st, 2024 and semi-annual or installment payments are due on the FIRST of the appropriate month thereafter.(Required)

Yes

Any bank fees incurred by the school will be passed to the parent/guardian responsible for the student.(Required)

Yes

I accept the conditions above and pre-register my child to the following Presby Kids Program(Required)

Typing your name and date in the following field constitutes a binding digital signature(Required)