FALL
2008
(330)
682-1383
Name of Child
Birth Date
Address
Male ____ Female
____
Home Phone
Cell Phone
(city)
(zip)
Name of Parents/Guardians
Employer
Work Phone
(Mother)
(Father)
I may need help finding a carpool.
Yes _
No
A NON-REFUNDABLE REGISTRATION FEE OF $25.00/one child
or $40.00/family must accompany this application. Please make check payable to
For Office Use Only Check# ______
Amount _______ Cash Amount _____________
A $20.00 supply fee
will be payable by August 15, 2008.
I
I
fully intend to enroll my child in the program &
agree to comply with the rules and regulations of
(signature
of parent or guardian)
(date)
CLASSES FOR 3 YEAR OLDS
(child must be 3 by 8/01/2008)
Tuesday
& Thursday mornings from 9:00 to 11:00 am
_____ Tuesday
& Thursday afternoons from 12:30 to 2:30 pm
CLASSES FOR 4 YEAR OLDS (child
must be 4 by 8/01/2008)
Monday,
Wednesday & Friday mornings from 9:00 to 11:15 am
Monday,
Tuesday, Wednesday, Thursday, & Friday mornings from 9:00 to 11:15 am
Tuesday & Thursday afternoons from 12:30 to 2:45 pm
Monday, Wednesday & Friday afternoons from 12:30 to 2:45
pm
CLASS FOR 5 YEAR OLDS
(child must be 5 by 8/01/2008)
Pre-K
- Monday, Tuesday, Wednesday, Thursday, & Friday afternoons
from 12:30 to 3:00 pm
Two days $630/annual
Three days $810/annual
Five days $990/annual
Fees may
be paid annually, quarterly or monthly
Trinity’s
program is licensed by the Ohio Department of Job and Family Services