To be filled out by staff
Morning 3 4 5 TREEHOUSE PRESCHOOL REGISTRATION 2012-2013
Afternoon 3 4 5 First Congregational Church
Acorn AM PM 85 Heritage Drive 330-630-0704 (phone)
P.O. Box 420 330-633-7010 (fax)
Tallmadge, Ohio 44278 firstname.lastname@example.org
Child’s Full Name: ______________________________________________________________Girl: ____ Boy: ____
Parents’ Names: _____________________________________________Phone: _______________________________
Street: _______________________________________City: ___________________________ZIP: _______________
Child’s Birthday: _____________________Parent Email: _________________________________________________
(Month/Day/Year) (for preschool information only)
Do you want to receive your school information by __________ mail or _____________email (please note, if you
choose by email, you must put my email address in you address book, email@example.com).
Does your child have any special needs? ______________________________________________________________
Has your child had any preschool experience? __________How many years experience? ___________
All requests will be considered, but not necessarily filled. As a parent, I prefer to enroll in the my child in the
(first choice) _______________________________ (second choice) __________________________________
3, 4 or 5 and morning or afternoon 3, 4 or 5 and morning or afternoon
Please note: we will do our best to honor your wishes, but there are no guarantees. Also understanding that:
1. If you plan on registering for ENRICHMENT class, you will need an addition form and an additional fee.
2. The $35.00 registration fee is non-refundable.
3. The morning (AM) classes will meet Tuesday, Wednesday, and Thursday from 9:15 – 11:30 A.M.
4. The afternoon (PM) classes will meet Tuesday, Wednesday, and Thursday from 12:45 – 3:00 P.M.
5. Tuition is $900.00 per year. If desired, it may be paid yearly, bi-yearly, or in nine monthly installments of $100.00
per month (August- April).
6. Tuition is due by the 1st of each month and a $5.00 late fee will be charged if tuition is received after the 10th of the
month. The first tuition payment is due on Aug. 1, 2012 to confirm you are attending Treehouse. The second
payment will be due by Meet the teacher which is Sept. 7 or 8 and every first of the month thereafter. If paying
monthly, the last payment will be made on April 1, 2013. A $15.00 charge will be assessed on NSF checks.
7. If you (not at Treehouse Preschool’s request) choose to change your child’s class after June 1, a $30 processing fee
will be charged.
8. We generally follow Tallmadge vacation schedule. Snow days will not be made up.
9. Classes begin Tuesday, September 11, 2012 and run through mid-May 2013.
Enclosed is a registration fee of $35.00.
Please make a check payable to Treehouse Preschool and enclose it with the registration form and mail to:
85 Heritage Drive
P.O. Box 420
Tallmadge, Ohio 44278
Date received by Treehouse Preschool: ___________________________ Check No.: ______________
Birth Certificate attached: ________________yes _________________no