APPLICATION FOR REGISTRATION



Name of Child:_________________________________________________________________




City:________________________________             Zip Code:___________________________


Telephone:                                                                  Date of Birth:_____________________ 


Name of Parents/Guardians:_______________________________________________________



How did you learn about this program:________________________ Referred by:______________



Please check the appropriate box:


PRE-NURSERY SCHOOL: 2 year old- must be 2 by December 1, 2018


     ¨    Monday and Friday                    9:30-11:00               $110 monthly tuition or $1100 yearly



     ¨    Tuesday and Thursday                9:30-11:00              $110 monthly tuition or $1100 yearly


THREE YEAR OLD PROGRAMS: must be 3 by December 1, 2018



     ¨    Tuesday and Thursday                  12:00-2:30              $150 monthly tuition or $1500 yearly


     ¨    Tuesday-Wednesday-Thursday     9:00-11:30              $180 monthly tuition or $1800 yearly


     ¨    Tuesday-Wednesday-Thursday     12:00-2:30              $180 monthly tuition or $1800 yearly


     ¨    Monday-Wednesday-Friday          9:00-11:30             $180 monthly tuition or $1800 yearly 


FOUR YEAR OLD PROGRAMS: must be 4 by December 1, 2018


      ¨    Tuesday-Wednesday-Thursday                9:00-11:30  $180 monthly tuition or $1800 yearly               


        ¨    Monday-Tuesday-Wednesday-Thursday   9:00-11:30  $210 monthly tuition or $2100 yearly     


        ¨    Friday  (additional day to add on to schedule) 9:00-11:30   $240 monthly tuition or $2400 yearly (5 days)

                                                                                                              $210 monthly tuition or $2100 yearly (4 days)


**All Classes must have a minimum of 8 students registered.  If this

minimum is not met by May 31, the class will be cancelled.



There is a non-refundable Registration fee of $85 for each child attending the Christian Nursery

School.   Your child will not be registered until this fee is paid.  Registration is on

a first come first serve basis. 

September tuition is due by May 1st or at the time of registration , and June’s
tuition is due by August 1st. These are non- refundable security payments that a child will be
filling a seat all year. If all of the above payments are not fulfilled by their specified date,
your child’s enrollment in the school will not be guaranteed. Please remember all children
must be potty trained for the 3 and 4 year old classes by the first day of school, no pull ups or


I understand and agree to all of the above statement.

Signed: ____________________________________ Date:___________________


Sibling Discount: $5.00 discount per month on second child

Church Member Discount: $5.oo discount per month on a child who was baptized at Christ
Lutheran or if a parent is an active member of Christ Lutheran Church

Tuition Paid in Full: 5% discount on the yearly tuition if the tuition is paid in full by September 1st

Referral Program $25.00 off one months tuition if you refer a new family, whose children
have never attended our program, to The Christian Nursery School of
Christ Lutheran Church. The new child must enroll and attend classes
from September to June.

The Christian Nursery School of Christ Lutheran Church admits students of any race, color, national

and ethnic origin to all the rights, privileges, programs, and activities generally accorded or made

available to students at the school. It does not discriminate on the basis of race, color, national and

ethnic origin in administration of its educational policies, admissions policies, scholarship and loan

programs, and athletic and other school-administered programs.




For Office Use Only


Date                                      Time                                 Referred by:___________________________       



September Tuition_____________      Registration Fee     __________________________