APPLE TREE PRESCHOOL
APPLICATION FOR REGISTRATION
We are currently taking registrations for fall of 2010. Please fill out the following form to be placed in the lottery drawing. You may e-mail this form to Apple.Tree @Plainfielducc.org or mail it to Apple Tree Preschool, 24020 W. Fraser Road, Plainfield, Illinois 60586.
Childs Name:________________________________________________________
Childs Birthday:______________________________________________________
Home Address:________________________________________________________
City:_________________________State:__________Zip Code:_________________
Home Phone:__________________________________________________________
Work or Cell Phone:_____________________________________________________
Please list First, Second, Third, or Fourth choices.
For 3 year old class: (must be 3 before September 1, 2010)
_____Monday - Tuesday Wednesday A.M. 9:00 11:30 A.M. (recommended for older
three year olds)
_____ Thursday Friday A.M. 9:00 11:30 A.M. (2 classes available)
_____ Thursday Friday P.M. 12:30 3:00 P.M.
For 4 year old class: (must be 4 before September 1, 2010)
_____ Monday Tuesday Wednesday A.M. 9:00 11:30 A.M.
_____ Monday Tuesday Wednesday P.M. 12:30 3:00 P.M. (2 classes available)
_____ Thursday Friday P.M. 12:30 3:00 P.M.
Parent/Guardian Signature
____________________________________
_____$75.00 registration fee (Do not pay this until you have been notified that your
child is officially enrolled in a class.) This fee is non-refundable and must be
paid within 10 days of acceptance in a class.
*If you have had other children who have attended Apple Tree, please write sibling on the top of this form.
Mail form to Apple Tree Preschool; 24020 W. Fraser Rd.; Plainfield, Illinois 60586, or e-mail it to Apple.Tree@Plainfielducc.org
Prices for 2010-2011 school year: 2 day class - $125.00 per month
3 day class - $180.00 per month