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SPROUTS OF IMANPRESCHOOL
REGISTRATION 2012-2013
Parents Name: ____________________________________________ Address: ___________________________________________________ ___________________________________________________ Phone # ___________________________________________________ Child(ren) Name and Age(s): 1 ____________________________________ 2 ____________________________________ 3 ____________________________________
CLASS WANTED
Please indicate your first and second choice below.
Subsidies: Subsidies:
2 Days
YES YES
NO NO
PM
5 Days
4 Days
3 Days
Please Note: Insha Allah we will do our utmost to meet your desired class. If your first choice is NOT AVAILABLE your child (ren) will be registered in second available choice.
Please note: Parents are encouraged to pay full tuition fees at the time of registration. All postdated cheques must be handed in during re-registration/registration. NSF fee ($25.00). All unsettled accounts will be referred to a collection agency.
FOR OFFICE USE ONLY - PLEASE DO NOT WRITE BELOW THIS LINE
SECTION 1 2-Day Registration _______________________ $125 3-Day Registration _______________________ $125 4-Day Registration _______________________ $125 5-Day Registration _______________________ $125 MON AM PM TUE WED THU FRI
SECTION 2
Subsidies
Amount approved per month: $_________________ Amount approved per school year: $___________ Number of Months Approved: __________________ Starting Date: _____________________________________ Ending Date: ______________________________________
Ending Date:____________
Jan Feb Mar Apr May Jun
In accordance with the Freedom of Information and Protection of Privacy Act, the Sprouts of Iman Preschool requires consent to use personal information for purposes unrelated to educational programs.
Date _____________________
Please complete this form and return it to your childs school. This information will be kept as part of your childs student file as long as he/she attends our school. Please note that you are responsible for notifying the school should the status of your permission change.