LAURELWOOD PRESCHOOL REGISTRATION FORM

Please read all of the information listed in the middle section of this form and then complete the section that
applies to your child.

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REGISTRATION FOR EARLY CHILDHOOD CLASS (must be 3 by Dec. 2, 2003)

___________________________

_________________

____

_________________

Child’s Name

Nickname

Sex

Birthdate

______________________________________________________

_________________

Address

City

Zip

Telephone

_____________________

_____________________

Mother’s Name

Father’s Name

Does child speak English? _______

Please circle time preference:  8:30-10:45  or  11:30-1:45  Tuesday/Thursday

Teacher preference: ____________________

Does time or teacher take precedence? _______

Are you interested in serving on the preschool board? ______________

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INFORMATION SECTION

Registration is by mail only and begins on February 10. Early postmarks (before February 10) will be
considered last. An Information Night for new people will be held on Monday, January 27, from 7:00-8:00 PM in Rooms 27 and 28 at Laurelwood School.

TUITION:

Early Childhood ----- $70.00 per month

Pre-Kindergarten ---- $90.00 per month

REGISTRATION FEE: $50.00.  This is non-refundable.  The first month’s tuition will be refunded only if the registrar is notified before August 1, 2003. NO EXCEPTIONS!

PLACEMENT: Applications will be processed on a lottery basis. Acceptance notices are mailed in March. All children must be toilet trained prior to entrance into the school and verification of age by birth certificate
will be required.

PROCEDURE:

1. Complete the proper part of this form and write a check to Laurelwood Preschool in the amount of your first month’s tuition plus the $50 registration fee.

2. Mail beginning February 10 to:

Laurelwood Preschool  (Phone – 241-8626)

c/o Nancy Shiu

1069 Lorne Way

Sunnyvale, CA 94087

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REGISTRATION FOR PRE-KINDERGARTEN CLASS (must be 4 by Dec. 2, 2003)

___________________________

_________________

____

_________________

Child’s Name

Nickname

Sex

Birthdate

______________________________________________________

_________________

Address

City

Zip

Telephone

_____________________

_____________________

Mother’s Name

Father’s Name

Does child speak English? _______

Please circle time preference:  8:30-11:00  or  11:45-2:15  Monday/Wednesday/Friday

Teacher preference: ____________________

Does time or teacher take precedence? _______

Are you interested in serving on the preschool board? ______________