NORTHFIELD COMMUNITY NURSERY SCHOOL

400 WAGNER ROAD  NORTHFIELD ILLINOIS 60093   847-446-1116

PARENT/TODDLER REGISTRATION FORM 2008/2009 SCHOOL YEAR

CHILD’S FULL NAME _______________________________________________________________  M___  F___

NAME TO BE USED IN SCHOOL____________________________________BIRTHDATE___________________

ADDRESS________________________________________________________HOME PHONE _________________

                      STREET                                         CITY                                   ZIP CODE                                         

FATHER’S NAME_________________________________ MOTHER’S NAME_____________________________

                                       FIRST                                  LAST                                                          FIRST                       LAST

FATHER’S WORK PHONE_________________________MOTHER’S WORK PHONE_______________________

FATHER’S CELL PHONE   _________________________MOTHER’S CELL PHONE________________________

EMAIL ADDRESS ______________________________________                          

NFCNS PARENT/TODDLER PROGRAMS

PLEASE, NO SIBLINGS IN ANY PARENT/TODDLER CLASSES OTHER THAN THE SIBLING MUSIC & MOVEMENT.  ALL PARENT/TODDLER CLASSES MEET SEPTEMBER THROUGH MAY

MUSIC AND MOVEMENT 

                TUESDAY            9:00-9:45am                     _______                  Sibling class

               TUESDAY             9:45-10:30am                   _______                                17-23 months

                TUESDAY            10:30-11:15am                 _______                                8-16 months

PARENT AND TODDLER              BIRTHDATE MUST BE BETWEEN 1/1/06-12/31/06

THURSDAY         9:00-10:15am                  ______    

THURSDAY         10:30-11:45am                ______                                    

 FRIDAY               10:30-11:45am                ______

PARENT AND TODDLER / BY MYSELF    BIRTHDATE MUST BE BETWEEN 1/1/06-8/31/06

This class is for children turning two between January 1, 2008 and August 31, 2008. This class is a Parent/Toddler class through December.  In January, the children begin to transition to a By Myself class and then attend class without a parent/caregiver for the remainder of the year.

FRIDAY                9:00-10:15am                  ______

TUITION

TUITION IS BASED ON A FULL YEAR ENROLLMENT SEPTEMBER THROUGH MAY

MOVEMENT AND MUSIC              $584.00

                WITH SIBLING                  $876.00                         

PARENT/TODDLER                          $750.00                                 

BY MYSELF                                        $862.00           

TERMS OF ENROLLMENT

1.  AFTER March 1, 2008, you will be responsible for the FULL tuition at the time of enrollment.     __________initials
2. Should you withdraw your child from NFCNS following registration, tuition is forfeited unless a replacement can be found for your child.  _________initials
3. Should you withdraw your child from NFCNS following registration, written notification must be sent to the enrollment chairperson.    _________initials

Parent’s signature ____________________________________________   Date ____________________

***Please return your registration form and deposit to:

NORTHFIELD COMMUNITY NURSERY SCHOOL

P.O. BOX 8078    NORTHFIELD IL 60093