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Contact
2021-2022 Preschool Registration and Tuition
Please verify reCaptcha before submitting the form.
2021-2022 Preschool Intake Form
*
Parent 1 - First Name
*
Parent 1 - Last Name
*
Parent 1 - Cell Phone
Parent 1 - Email
*
Is there a second parent?
Please Select One
Yes
No
*
Parent 2 - First Name
*
Parent 2 - Last Name
*
Parent 2 - Cell Phone
Parent 2 - Email
*
Child 1 - First Name
*
Child 1 - Last Name
*
Child 1 - Nick Name
*
Child 1 - Date of Birth
*
Child 1 - Age as of 10/01/21
*
The $200 registration fee per child and the August tuition is due now to complete your registration. I understand that both these fees are nonrefundable and nontransferable. As of March 1st, 2021 the registration fee will increase to $250 per child.
The $200 registration fee per child and the August tuition is due now to complete your registration. I understand that both these fees are nonrefundable and nontransferable. As of March 1st, 2021 the registration fee will increase to $250 per child.
*
Is child 1 a Member of HEA?
Please Select One
Yes
No
*
Please choose Child 1's age group?
Please Select One
Toddlers (12 months and walking by August 19, 2021)
Twos (by October 1, 2021)
Threes (by October 1, 2021)
Fours (by October 1, 2021)
*
Are you paying by Credit Card or Check?
Please Select One
Credit Card
Check
*
Child 1 will attend:
Please Select One
T/Th(Toddlers & 2's only)
Monday/Wednesday/Friday
Monday-Friday
*
Child 1 will attend:
Please Select One
T/Th(Toddlers & 2's only)
Monday/Wednesday/Friday
Monday-Friday
Please select a T/TH Option:
Child 1 - Age as of 10/01/21
7:30am-3:30pm-$595.00
7:30am-4:30pm-$680.00
9:00am-12:30pm-$300.00
9:00am-3:30-$510.00
9:00am-4:30pm - $640.00
Please select a MWF Option:
Child 1 - Age as of 10/01/21
7:30am-3:30pm-$850.00
7:30am-4:30pm-$1020.00
9:00am-12:30pm-$425.00
9:00am-3:30pm-$765.00
9:00am-4:30pm-$935.00
Please select a M-F Option:
Child 1 - Age as of 10/01/21
7:30am-3:30pm-$1445.00
7:30am-4:30pm-$1615.00
9:00am-12:00pm-$680.00
9:00am-3:30pm-$1190.00
9:00am-4:30pm-$1530.00
Please select a T/TH Option:
Child 1 - Age as of 10/01/21
7:30am-3:30pm-$577.00
7:30am-4:30pm-$660.00
9:00am-12:30pm-$291.00
9:00am-3:30pm-$495.00
9am-4:30pm - $621.00
Please select a MWF Option:
Child 1 - Age as of 10/01/21
7:30am-3:30pm-$825.00
7:30am-4:30pm-$989.00
9:00am-12:30pm-$412.00
9:00am-3:30pm-$742.00
9:00am-4:30pm-$907.00
Please select a M-F Option:
Child 1 - Age as of 10/01/21
7:30am-3:30pm -$1402.00
7:30am-4:30pm-$1567.00
9:00am-12:30pm-$660.00
9:00am-3:30pm-$1154.00
9:00am-4:30pm-$1484.00
*
Please choose Child 1's age group?
Child 1 - Age as of 10/01/21
Toddlers (12 months and walking by August 19, 2021)
Twos (by October 1, 2021)
Threes (by October 1, 2021)
Fours (by October 1, 2021)
*
Are you paying by Credit Card or Check?
Please Select One
Credit Card
Check
*
Child 1 will attend:
Please Select One
T/TH (Toddler & 2's only)
Monday/Wednesday/Friday
Monday-Friday
*
Child 1 will attend:
Please Select One
T/TH(Toddler & 2's only)
Monday/Wednesday/Friday
Monday-Friday
Please select a T/TH Option:
Please Select One
7:30am-330pm - $700.00
7:30am-4:30pm- $800.00
9am-12:30pm-$350.00
9am-3:30pm-$600.00
9am-4:30pm - $750.00
Please select a MWF Option:
Child 1 - Age as of 10/01/21
7:30am-330pm -$1000.00
7:30am-4:30pm -$1200.00
9am-12:30pm-$500.00
9am-3:30pm-$900.00
9am-4:30pm-$1100.00
Please select a M-F Option:
Child 1 - Age as of 10/01/21
7:30am-330pm -$1700.00
7:30am-4:30pm -$1900.00
9am-12:30pm-$800.00
9am-3:30pm-$1400.00
9am-4:30pm-$1800.00
Please select a T/TH Option:
Child 1 - Age as of 10/01/21
7:30am-3:30pm-$679.00
7:30am-4:30pm-$776.00
9am-12:30pm-$340.00
9am-3:30pm-$582.00
9am-4:30pm-$728.00
Please select a MWF Option:
Child 1 - Age as of 10/01/21
7:30am-330pm -$970.00
7:30am-4:30pm -$1164.00
9am-12:30pm-$485.00
9am-3:30pm-$873.00
9am-4:30pm - $1067.00
Please select a M-F Option:
Child 1 - Age as of 10/01/21
7:30am-330pm -$1649.00
7:30am-4:30pm -$1843.00
9am-12:30pm-$776.00
9am-3:30pm-$1358.00
9am-4:30pm-$1746.00
*
Are you registering a second child?
Please Select One
Yes
No
*
Child 2 - First Name
*
Child 2 - Last Name
*
Child 2 - Nick Name
Child 2 - Date of Birth
Child 2 - Age as of 10/01/20
*
The $200 registration fee per child and the August tuition is due now to complete your registration. I understand that both these fees are nonrefundable and nontransferable. As of March 1st, 2021 the registration fee will increase to $250 per child.
The $200 registration fee per child and the August tuition is due now to complete your registration. I understand that both these fees are nonrefundable and nontransferable. As of March 1st, 2021 the registration fee will increase to $250 per child.
*
Is child 2 a Member of HEA?
Please Select One
Yes
No
*
Please choose Child 2's age group?
Please Select One
Toddlers (12 months and walking by August 19, 2021)
Twos (by October 1, 2021)
Threes (by October 1, 2021)
Fours (by October 1, 2021)
*
Are you paying by Credit Card or Check?
Please Select One
Credit Card
Check
*
Child 2 will attend:
Please Select One
T/TH (Toddler & 2's only)
Monday/Wednesday/Friday
Monday-Friday
*
Child 2 will attend:
Please Select One
T/TH (Toddler and 2's only)
Monday/Wednesday/Friday
Monday-Friday
Please select a T/TH Option:
Child 2 - Age as of 10/01/21
7:30am-3:30pm-$595.00
7:30am-4:30pm-$680.00
9am-12:30pm-$300.00
9am-3:30pm-$510.00
9am-4:30pm - $640.00
Please select a MWF Option:
Child 2 - Age as of 10/01/21
7:30am-3:30pm-$850.00
7:30am-4:30pm-$1020.00
9am-12:30pm-$425.00
9am-3:30pm-$765.00
9am-4:30pm - $935.00
Please select a M-F Option:
Child 2 - Age as of 10/01/21
7:30am-3:30pm-$1445.00
7:30am-4:30pm-$1615.00
9am-12:30pm-$680.00
9am-3:30pm-$1190.00
9am-4:30pm - $1530.00
Please select a T/TH Option:
Child 2 - Age as of 10/01/21
7:30am-3:30pm-$577.00
7:30am-4:30pm-$660.00
9am-12:30pm-$291.00
9am-3:30pm-$495.00
9am-4:30pm-$621.00
Please select a MWF Option:
Child 2 - Age as of 10/01/21
7:30am-3:30pm-$825.00
7:30am-4:30pm-$989.00
9am-12:30pm-$412.00
9am-3:30pm-$742.00
9am-4:30pm-$907.00
Please select a M-F Option:
Child 2 - Age as of 10/01/21
7:30am-3:30pm-$1402.00
7:30am-4:30pm-$1567.00
9am-12:30pm-$660.00
9am-3:30pm-$1154.00
9am-4:30pm-$1484.00
*
Please choose Child 2's age group?
Child 2 - Age as of 10/01/21
Toddlers (12 months and walking by August 19, 2021)
Twos (by October 1, 2021)
Threes (by October 1, 2021)
Fours (by October 1, 2021)
*
Are you paying by Credit Card or Check?
Please Select One
Credit Card
Check
*
Child 2 will attend:
Please Select One
T/TH (Toddler & 2's only)
Monday/Wednesday/Friday
Monday-Friday
*
Child 2 will attend:
Please Select One
T/TH (Toddler & 2's only)
Monday/Wednesday/Friday
Monday-Friday
Please select a T/TH Option:
Child 2 - Age as of 10/01/21
7:30am-3:30pm-$700.00
7:30am-4:30pm-$800.00
9am-12:30pm-$350.00
9am-3:30pm-$600.00
9am-4:30pm -$750.00
Please select a MWF Option:
Child 2 - Age as of 10/01/21
7:30am-3:30pm-$1000.00
7:30am-4:30pm-$1200.00
9am-12:30-$500.00
9am-3:30-$900.00
9am-4:30pm - $1100.00
Please select a M-F Option:
Child 2 - Age as of 10/01/21
7:30am-3:30pm-$1700.00
7:30am-4:30pm-$1900.00
9am-12:30pm-$800.00
9am-3:30pm-$1400.00
9am-4:30pm-$1800.00
Please select a T/TH Option:
Child 2 - Age as of 10/01/21
7:30am-3:30pm-$679.00
7:30am-4:30pm-$776.00
9am-12:30pm-$340.00
9am-3:30pm-$582.00
9am-4:30pm-$728.00
Please select a MWF Option:
Child 2 - Age as of 10/01/21
7:30am-3:30pm-$970.00
7:30am-4:30pm-$1164.00
9am-12:30pm-$485.00
9am-3:30pm-$873.00
9am-4:30pm - $1067.00
Please select a M-F Option:
Child 2 - Age as of 10/01/21
7:30am-3:30pm-$1649.00
7:30am-4:30pm-$1843.00
9am-12:30pm-$776.00
9am-3:30pm-$1358.00
9am-4:30pm-$1649.00
*
Are you registering a third child?
Please Select One
Yes
No
*
Child 3 - First Name
*
Child 3 - Last Name
*
Child 3 - Nick Name
Child 3 - Date of Birth
Child 3 - Age as of 10/01/20
*
The $200 registration fee per child and the August tuition is due now to complete your registration. I understand that both these fees are nonrefundable and nontransferable. As of March 1st, 2021 the registration fee will increase to $250 per child.
The $200 registration fee per child and the August tuition is due now to complete your registration. I understand that both these fees are nonrefundable and nontransferable. As of March 1st, 2021 the registration fee will increase to $250 per child.
*
Is child 3 a Member of HEA?
Please Select One
Yes
No
*
Please choose Child 3's age group?
Please Select One
Toddlers (12 months and walking by August 19, 2021)
Twos (by October 1, 2021)
Threes (by October 1, 2021)
Fours (by October 1, 2021)
*
Are you paying by Credit Card or Check?
Please Select One
Credit Card
Check
*
Child 3 will attend:
Please Select One
T/TH (Toddler & 2's only)
Monday/Wednesday/Friday
Monday-Friday
*
Child 3 will attend:
Please Select One
T/TH (Toddler & 2's only)
Monday/Wednesday/Friday
Monday-Friday
Please select a T/TH Option:
Child 3 - Age as of 10/01/21
7:30am-3:30pm-$595.00
7:30am-4:30pm-$680.00
9am-12:30pm-$300.00
9am-3:30pm-$510.00
9am-4:30pm - $640.00
Please select a MWF Option:
Child 3 - Age as of 10/01/21
7:30am-3:30pm-$850.00
7:30am-4:30pm-$1020.00
9am-12:30pm-$425.00
9am-3:30pm-$765.00
9am-4:30pm-$935.00
Please select a M-F Option:
Child 3- Age as of 10/01/21
7:30am-3:30pm-$1445.00
7:30am-4:30pm-$1615.00
9am-12:30pm-$680.00
9am-3:30pm-$1190.00
9am-4:30pm - $1530.00
Please select a T/TH Option:
Child 3 - Age as of 10/01/21
7:30am-3:30pm-$577.00
7:30am-4:30pm-$660.00
9am-12:30pm-$291.00
9am-3:30pm-$495.00
9am-4:30pm - $621.00
Please select a MWF Option:
Child 3 - Age as of 10/01/21
7:30am-3:30pm-$825.00
7:30am-4:30pm-$989.00
9am-12:30pm-$412.00
9am-3:30pm-$742.00
7:30am-4:30pm-$907.00
Please select a M-F Option:
Child 3 - Age as of 10/01/21
7:30am-3:30pm-$1402.00
7:30am-4:30pm-$1567.00
9am-12:30pm-$660.00
9am-3:30pm-$1154.00
9am-4:30pm - $1484.00
*
Please choose Child 3's age group?
Please Select One
Toddlers (12 months and walking by August 19, 2021)
Twos (by October 1, 2021)
Threes (by October 1, 2021)
Fours (by October 1, 2021)
*
Are you paying by Credit Card or Check?
Please Select One
Credit Card
Check
*
Child 2 will attend:
Please Select One
T/TH (Toddler & 2's only)
Monday/Wednesday/Friday
Monday-Friday
*
Child 3 will attend:
Please Select One
T/TH (Toddler & 2's only)
Monday/Wednesday/Friday
Monday-Friday
Please select a T/TH Option:
Child 3 - Age as of 10/01/21
7:30am-3:30pm - $700.00
7:30am-4:30pm-$800.00
9am-12:30pm-$350.00
9am-3:30pm-$600.00
9am-4:30pm - $750.00
Please select a MWF Option:
Child 3 - Age as of 10/01/21
7:30am-3:30pm - $970.00
7:30am-4:30pm - $1164.00
9am-12:30pm-$485.00
9am-3:30pm-$873.00
9am-4:30pm - $1067.00
Please select a M-F Option:
Child 3- Age as of 10/01/21
7:30am-3:30pm-$1700.00
7:30am-4:30pm-$1900.00
9am-12:30pm-$800.00
9am-3:30pm-$1400.00
9am-4:30pm-$1800.00
Please select a T/TH Option:
Child 3 - Age as of 10/01/21
7:30am-3:30pm-$679.00
7:30am-4:30pm-$776.00
9am-12:30pm-$340.00
9am-3:30pm-$582.00
9am-4:30pm - $728.00
Please select a MWF Option:
Child 3 - Age as of 10/01/21
7:30am-3:30pm-$1000.00
7:30am-4:30pm-$1200.00
9am-12:30pm-$500.00
9am-3:30pm-$900.00
9am-4:30pm - $1100.00
Please select a M-F Option:
Child 3 - Age as of 10/01/21
7:30am-3:30pm-$1649.00
7:30am-4:30pm-$1843.00
9am-12:30pm-$776.00
9am-3:30pm-$1358.00
9am-4:30pm - $1746.00
*
Please check the box to acknowledge that : I understand my registration is not complete until I have paid August tuition and the registration fee. I understand that both these fees are non-refundable and non-transferable. I understand that my monthly tuition is due September 2021 through May 2022. I understand that I am required to give a written 30-day notice of withdrawal or schedule change. Schedule changes are approved based on availability.
Please check the box to acknowledge that : I understand my registration is not complete until I have paid August tuition and the registration fee. I understand that both these fees are non-refundable and non-transferable. I understand that my monthly tuition is due September 2021 through May 2022. I understand that I am required to give a written 30-day notice of withdrawal or schedule change. Schedule changes are approved based on availability.
*
Please check the box to acknowledge that Children enrolled at HEA Preschool must be fully vaccinated. Personal and religious exemptions will not be accepted. Medical exemptions or medically necessary delayed schedules must be signed by your physician.
Please check the box to acknowledge that Children enrolled at HEA Preschool must be fully vaccinated. Personal and religious exemptions will not be accepted. Medical exemptions or medically necessary delayed schedules must be signed by your physician.
Total Fee
Fri, April 26 2024 18 Nisan 5784