2021-2022 Preschool Registration and Tuition

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?

* 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 choose Child 1's age group?

* Are you paying by Credit Card or Check?

* Child 1 will attend:

Please select a T/TH Option:

Please select a MWF Option:

Please select a M-F Option:

Please select a T/TH Option:

Please select a MWF Option:

Please select a M-F Option:

* Please choose Child 1's age group?

* Are you paying by Credit Card or Check?

* Child 1 will attend:

Please select a T/TH Option:

Please select a MWF Option:

Please select a M-F Option:

Please select a T/TH Option:

Please select a MWF Option:

Please select a M-F Option:

* Are you registering a second child?

* 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

* Is child 2 a Member of HEA?

* Please choose Child 2's age group?

* Are you paying by Credit Card or Check?

* Child 2 will attend:

Please select a T/TH Option:

Please select a MWF Option:

Please select a M-F Option:

Please select a T/TH Option:

Please select a MWF Option:

Please select a M-F Option:

* Please choose Child 2's age group?

* Are you paying by Credit Card or Check?

* Child 2 will attend:

Please select a T/TH Option:

Please select a MWF Option:

Please select a M-F Option:

Please select a T/TH Option:

Please select a MWF Option:

Please select a M-F Option:

* Are you registering a third child?

* 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

* Is child 3 a Member of HEA?

* Please choose Child 3's age group?

* Are you paying by Credit Card or Check?

* Child 3 will attend:

Please select a T/TH Option:

Please select a MWF Option:

Please select a M-F Option:

Please select a T/TH Option:

Please select a MWF Option:

Please select a M-F Option:

* Please choose Child 3's age group?

* Are you paying by Credit Card or Check?

* Child 2 will attend:

* Child 3 will attend:

Please select a T/TH Option:

Please select a MWF Option:

Please select a M-F Option:

Please select a T/TH Option:

Please select a MWF Option:

Please select a M-F Option:

* 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

Thu, May 19 2022 18 Iyyar 5782