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

IF YOU ARE A MEMBER, PLEASE LOGIN.

This will insure proper credit to your account. Login at the top right corner. If you are accessing this form through your phone, click the 3 line menu at the top right corner.

Please complete a form for each child to be enrolled.

Please note that this registration form is only for children who are new to our Thelma K Reisman Preschool program who are enrolling for the first time.

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 Childcare Arrangements

* 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: 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:

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

BETH EL MEMBERS: EXTENDED DAY ADD-ON

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

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 $1000 deposit is required with your application. You will be asked to pay that $1000 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, $905 will returned.

If the registration is cancelled prior to May 1, 2019, $700 will be returned.

If the registration is cancelled prior to June 1, 2019, $500 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 $1000 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 $1000Deposit of $1000 for Preschool

* How would you like to pay the remaining tuition?