New Student Preschool Registration

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Tuition Annually (12 months)
	3 Day (M, W, F)	5 Days
Half Day (8:30-12:30)	$12,500	$18,400
Full Day (8:30-3:00)	$14,500	$20,700
Extended Day (8:30-5:00)	$16,800	$24,000

Student Information

* Name of Child

Birthday:

* Gender:

Schedule Desired

5 day

3 day

3 dayMonday, Wednesday, and Friday

Desired Start Date:

School Hours

Are you enrolling a second child??

Student 2 Information

* Name of Child

Birthday:

* Gender:

Schedule Desired

For which class are you enrolling?

5 day

3 day

3 dayMonday, Wednesday, and Friday

School Hours

Parent / Guardian 1

* First Name:

* Last Name:

* Primary Address:

* City:

* State:

* Zip Code:

* Phone 1 (Mobile):

* Phone 2 (Home):

* Email:

Is there a second parent/guardian?

Parent / Guardian 2

Name:

Does this parent/guardian live at a different address?

Primary Address:

City:

State:

Zip Code:

Phone 1:

Phone 2:

Email:

* By submitting this form, you agree to pay the $75 non-refundable application fee

By submitting this form, you agree to pay the $75 non-refundable application fee

By submitting this form, you agree to pay the $800 administrative fee

Total Due Today

Your application fee and Administrative fees must be paid upon submission.

Tue, April 23 2024 15 Nisan 5784

New Student Preschool Registration

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Mishkon Tephilo

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