THELMA K REISMAN PRESCHOOL APPLICATION 2019-2020 FOR RETURNING FAMILIES - Form

Please complete a form for each child to be enrolled.

Please note that this registration form is only for children currently enrolled in our Thelma K Reisman Preschool program who are re-enrolling for next year.

If you have any questions or run into any problems while registering please do not hesitate to reach out. We are always happy to help.

preschool@bethelnj.org
973-763-0113

* Child Last Name

* Child First Name

* Current Class in Preschool

* Child Date of Birth

Sibling 1 Name

Sibling date of Birth

Sibling 2 Name

Sibling 2 date of Birth

* Are you currently a Beth El Member

* Parent #1 Last Name

* Parent #1 First Name

* Parent #1 Street Address

* Parent #1 City

* Parent #1 State

* Parent #1 Zip

* Parent #1 E-mail

Parent #1 Home Phone

* Parent #1 Cell Phone

Parent #1 Work Phone

Parent #1 Occupation

Parent #1 Employer

Parent #1 Employer address

Parent #2 Last Name

Parent #2 First Name

Parent #2 Street Address (if different)

Parent #2 City (if different)

Parent #2 State (if different)

Parent #2 Zip (if different)

Parent #2 E-Mail

Parent #2 Home Phone

Parent #2 Cell Phone

Parent #2 Work Phone

Parent #2 Occupation

Parent #2 Employer

Parent #2 Employer Address

If you are registering your child for five full days a week, 7:30am-6:00pm or 7:30am-6:30pm, use our FAST TRACK option here:

BETH EL MEMBERS: FAST TRACK

Two Year Old (5 Days a Week, 7:30am-6:00pm)Three Year Old (5 Days a Week, 7:30am-6:00pm)Four Year Old (5 Days a Week, 7:30am-6:00pm)Select one of these discounted rates if your child is registering from 7:30am-6:00pm 5 Days a Week.

NON-BETH EL MEMBERS: FAST TRACK

BETH EL MEMBERS MEMBERS: EXTENDED DAY ADD-ON FAST TRACK

Extended Day Add-On (6:00pm-6:30pm)

NON-BETH EL MEMBERS: EXTENDED DAY ADD-ON FAST TRACK

Extended Day Add-On (6:00pm-6:30pm)

If you are registering your child for a flexible schedule that is less than five full days a week, please continue here:

Choose the days of the week that your child will participate in our afternoon enrichment program from 12:00pm-2:30pm.

BETH EL MEMBERS: Extended Day (2:30pm-6:00pm)

Two Extended DaysThree Extended DaysFour Extended DaysFive Extended Days

NON-BETH EL MEMBERS: Extended Day (2:30pm-6:00pm)

Two Extended DaysThree Extended DaysFour Extended DaysFive Extended Days

Choose the days of the week that your child will participate in our program from 2:30pm-6:00pm. THERE IS A MINIMUM OF TWO DAYS A WEEK FOR EXTENDED DAY ENROLLMENT.

BETH EL MEMBERS: EXTENDED DAY ADD-ON

Extended Day Add-On (6:00pm-6:30pm)

BETH NON-BETH EL MEMBERS: EXTENDED DAY ADD-ON

Extended Day Add-On (6:00pm-6:30pm)

* I hereby agree to the following terms

Yes

TERMINATION OF ENROLLMENT

A $500 deposit is required with your application. You will be asked to pay that $500 deposit separately once you complete your registration.

All deposits contain a $95 Administrative Fee, which is non-refundable.

If the registration is cancelled prior to April 1, 2019, $405 will returned.

If the registration is cancelled prior to May 1, 2019, $300 will be returned.

If the registration is cancelled prior to June 1, 2019, $150 will be returned.

If the registration is cancelled after June 1, 2019, there will be no return of the deposit.

Once the school year has begun, if a child is withdrawn from the program (in whole or in part) prior to December 31, 2019 half of the program’s tuition (less the $500 deposit) will be returned.

If a child is withdrawn after December 31, 2019 (in whole or in part), there will be no refund of tuition.

Deposit

Deposit of $500Deposit of $500 for Preschool

How would you like to pay your remaining tuition balance?