Authorization of

							                                                           Washington DCJCC
                                                              Preschool
                                                         Enrollment Contract
                                                              2012–2013
This contract is for the enrollment of                                                for the Washington DCJCC Preschool for the 2012–
2013 school year, which runs from September 4, 2012 through August 9, 2013. In consideration of the acceptance of this enrollment by
Washington DCJCC Preschool, the undersigned Parent/Guardian agrees to the tuition of $1680 per month for a total of twelve months.
By signing, you understand and agree that all deposits, fees and tuition are non-refundable and non-transferable to another child or
DCJCC program and must be paid from September through August, regardless of whether or not your child attends school during that period. If
you return this contract and deposit, we are counting on your child attending and will be making staffing and other decisions accordingly. The
requirement to pay tuition for all school months may be amended for withdrawals before August 1, provided that the DCJCC can fill the spot.
Any amendments must be approved in writing by the DCJCC’s CEO and the Preschool Director. No accommodation will be made for
withdrawals after August 1.
For re-enrolling students only, this contract is due with the September 2012 tuition payment and activity fee by the stated deadline. The second
payment for the August 2013 tuition is due on April 16. By signing, you understand that your child’s enrollment is not final until the DCJCC
receives the second payment. Failure to make payment on time will result in your child losing their spot. You will not receive a refund of fees
paid.
In accordance with DC Licensing regulations all enrollment and health forms must be current and submitted to the Preschool before the first day
that your child attends school.
Tuition is due the first day of the month and a $15 daily late fee will be assessed after the 5th of the month. If tuition is not paid by the 15th of the
month, your child will be suspended from the program.
By signing this agreement, you acknowledge and provide approval that any photographs taken of your child at the Washington DCJCC may be
published (print or electronic.). In addition, you agree to abide by all of the guidelines of the Preschool Parent Handbook
(http://washingtondcjcc.org/kids-and-parents/preschool/Preschool-Parent-Handbook.pdf).
No changes may be made to this contract without the written approval from the DCJCC’s CEO and the Preschool Director.
Please print all information:

Child’s Name                                                                             Birth Date                                   Sex

Address (with ZIP)

Home Phone

Parent/Guardian 1                                                                       Daytime Phone

Email

Parent/Guardian 2                                                                       Daytime Phone

Email

I accept and understand the policies as stated including preschool tuition requirements and the No Refund Policy.

Signature of Parent/Guardian                                                             Date

Your tuition includes a Family Fitness Membership. Your family will have access to all of the fitness facilities—pool, gymnasium, squash and racquetball courts,
locker rooms, fitness center—and a wide range of group exercise classes free to Fitness Members. As always, your DCJCC membership gives you substantial
discounts on camp and other programs. Your Family Fitness Membership will start on the first day of the school year; please visit Member Services for details and
to activate your membership.


(For Office Use Only) Date Received                                                                 Amount Paid
                                         Washington DCJCC Preschool
                                         Tuition Schedule 2011–2012
                     2-Year Olds                                                  $ 1680
                   (Two by 11/30/12)
                    2 1/2 Year Olds                                               $ 1680
                   (Three by 3/31/13)
                  Late 2’s, Early 3’s                                             $ 1680
                (Turning 3 by 1/31/13)
                    3-Year Olds                                                   $ 1555
                (Turning 3 by 9/30/12)

               4-Year Olds and Pre-K                                              $ 1555


                             All tuitions are for a full-day schedule: 7:30 am–6:00 pm.
                                 Sibling Discount: Subtract 10% for the second child.


                       Activity Fee
                                                                                  $180
  The activity fee covers all field trips, special events and
        summer swim classes for the oldest classes


                    Registration Fee                                     September 2012 tuition,
     (deposit required to reserve your child’s space)                    August 2013 tuition + Activity Fee
             For 2 year olds, the deposit total is              $3,540
             For 2 ½ year olds, the deposit total is $3,540
             For late 2s, early 3s, the deposit total is $3,540
             For 3 and 4-year olds, the deposit total is $3,290

TOTAL DUE

Child’s Name                                                    Birth Date:                  Sex:

Parent Signature:                                                                    Date:
                                          Washington DCJCC Preschool
                                           Authorization for Deposit
                                                   Payments
                                           For School Year 2011–2012
               *Please use this form whether paying by check or credit card and fill out a separate form for each child *



Child’s Name

Amount to Charge
                                                                               See the Tuition Schedule for details.
Method of
                                                                     Credit Card                       Check (attached)
Payment (circle)
                           Note: all credit card payments will incur a monthly 2% administrative fee.

Name on Card
Card Number
Card Type                                                                 Visa MC Discover AmEx
                                                                              Card
Security Code                                                                 Expiration
Please check all that apply:
□    I hereby grant the Washington DC JCC Preschool permission to charge the above amount to the above credit card for my child’s deposit.
□    I am paying the full amount now (check or credit card) (2% administrative fee for credit card payments).
□    I would like to split my re-enrollment payments, paying for September 2012 tuition+activity fee now, and for the August 2013 tuition on
     April 16. I understand that my child’s enrollment is not final until payment is made in full and that my child’s place in the preschool will be
     given away if payment is not received. (For returning students only)
     □    You may use my credit card to process the 2nd payment on April 16 (2% administrative fee for credit card payments).
     □    I have attached a post-dated check for April 16 to cover the August 2013 deposit.
□    I would like to split my payments, paying for September 2012 tuition+activity fee now, and for the August 2013 tuition in 30 days (date:
                     ). I understand that my child’s enrollment is not final until payment is made in full and that my child’s place in the preschool
     may be given away if payment is not received. (For new students only)
     □    You may use my credit card to process the 2nd payment 30 days from today (2% administrative fee for credit card payments).
     □    I have attached a post-dated check for 30 days from today to cover the August 2013 deposit.
□    I understand that my deposit is not refundable and not transferable to another DCJCC program.


Cardholder’s Signature                                                              Date

Office Use Only:
                     entered                                  initials/date         $                       to deposit to 2510-O-QPS-30 (03-FY13)
          $         180        to deposit to 2510-O-QPS-32 (03-FY13)                $                       to deposit to 2510-O-QPS-31 (02-FY14)