Enrollment Application
Class placement is based on availability. We do our best to give requested time slots but do not guarantee them. Enrollment is not complete until all fees are paid.

* indicates required fields 
  *Child's Name:
  *Birthdate:
  *Age:
  *Address, City & Zip:
  *Parent or Guardian:
  *Best phone:
  *Email Address:
  *Allergies or Special Needs:
  *If yes please explain:
  *Emergency contact:
  *How did you hear about us:
  *Class request:  AM 5 Day (M-F $280.00 mo.)
 AM 3 Day (M,W,F $170.00 mo.)
 AM 2 Day (T,Th $145.00 mo.)

2019-2020 Enrollment Agreement 
  
1. We understand and agree that tuition is due on or before the 1st of every month. We understand and agree to pay an automatic late fee of $10.00 it will be applied to tuition paid after the 5th and 5% interest per month an any unpaid balances over 30 days old plus any court costs and reasonable attorney’s fees, with or without suit, incurred in collecting any past due balance, and a collection fee of 50% of the outstanding balance. 

2. We understand that a 30 day written notice is required for mid-year withdrawal from school.

3. We authorize staff of Impressions Preschool to obtain emergency medical/dental care for our child at the expense of the listed parents or guardians. We further authorize the staff of Impressions Preschool to administer emergency first aid in the event of an injury or illness to our child. We further authorize emergency transportation, if needed. 

4. We agree to abide by the general information and understand that failure to do so may result in denial of services. Parents are given a copy before services are rendered. 

5. We hereby agree to indemnify and hold harmless The Impressions Preschool, its owners, and its employees, for any and from all claims of any nature by our child or by the parent or guardian. 

6. We understand that our 50.00 enrollment deposit is non-refundable. By submitting this form I'm agreeing to all the terms of the 2019-2020 Enrollment Agreement.


 
impressionspreschool@gmail.com 
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