Preschool 22-23 Registration - Form

Please complete the information below for Preschool 2021/2022 Registration
Currently, our 2's classes are full.
Please call Sara in the preschool office (203) 227-6964
to be placed on the wait list.
If there is sufficient interest, additional classes may be opened.

Parent 1 Contact Information

* Parent 1 - First Name

* Parent 1 - Last Name

* Parent 1 - Email

* Parent 1 - Cell Phone

Parent 1 - Business Name and Address

Parent 1 - Business Phone

Parent 2 Contact Information

Parent 2 - First Name

Parent 2 - Last Name

Parent 2 - Email

Parent 2 - Cell Phone

Parent 2 - Business Name and Address

Parent 2 - Business Phone

Family Information

* Home Street Address

* City

* State

* Zip Code

Home Phone

Please list Names, Dates of Birth, and Grades in School of any children you are NOT enrolling in TCS Preschool 22/23:

How did you hear about our program?

* Synagogue Affiliation (select one)

* Are you interested in TCS membership?

Please select one:YesNo

Child Information

* How many children are you enrolling for Preschool 2022 - 2023?

I understand that the $65 per student application fee is non-refundable/non-transferable.

Child 1 Information

* Child 1 First Name

* Child 1 Last Name

* Child 1 Date of Birth

* Gender:

GenderMaleFemale

* Please Choose Preschool Program

Please Choose One2's - 3 Days or 5 Days (see next question) - $500.00 - 8 of 19 Left3's - $500.00 - 5 of 14 Left4's - $500.00 - 4 of 13 LeftI understand that the $500 deposit per student is non-refundable/non-transferable. If my child is not offered placement in the Preschool, the $500 deposit will be returned to me.

Child 2 Information

* Attendee 2 First Name

* Attendee 2 Last Name

* Child 2 Date of Birth

* Gender:

GenderMaleFemale

Child 3 Information

* Child 3 First Name

* Child 3 Last Name

* Child 3 Date of Birth

* Gender:

GenderMaleFemale

Child 4 Information

* Child 4 First Name

* Child 4 Last Name

* Child 4 Date of Birth

* Gender:

GenderMaleFemale

Total

Total Registration/Deposit Amount:

Important Information

I hereby enroll my child in TCS Preschool. A minimum first payment of 25% of tuition (after deducting the $500 payment already made with application submission) will be due for each incoming student on or before July 15, 2022. Payment in full at that time is welcome. *If you pay in full by cash or check you will receive a 3% discount.

Our synagogue payment system offers personalized payment options for the remainder of tuition. Each family will be able to set up recurring automatic payments (ACH) by credit card or through your bank account. Regardless of the date of payment each month, all tuition must be paid in full on or before December 31, 2022.

By hitting the submit button below, I acknowledge that I understand and agree to the following:

My account will be charged $565.00 per child with my application. I understand that the $65.00 represents a non-refundable/non-transferable application fee, and that the $500.00 represents a non-refundable/non-transferable deposit. If my child is not offered placement in the Preschool, the $500.00 deposit will be returned to me. If legally sufficient funds do not exist to cover the deposit check, I understand that my child could lose his/her space in the Preschool.

On or before August 1, 2022 I will submit a $250 check or credit card per family/per year made payable to TCS. I understand that the $250 represents a non-refundable/non-transferable security assessment.

I will be responsible for the total tuition regardless of absences or my voluntary withdrawal of my child from the Preschool for any reason.

In the event of a withdrawal of a child upon request of the Preschool, the tuition will be adjusted to the date of such withdrawal.

TCS Preschool reserves the right to cancel any class at any time without a penalty due to insufficient enrollment. If a class is cancelled, the entire tuition and application fee will be refunded.

There will be no tuition refunds for any reason except as described above.

Each child’s immunization records must be in compliance with the State of Connecticut’s guidelines and must be submitted by September 1, 2022, prior to the start of school. All children are required to have a flu shot on a yearly basis. Documentation must be submitted to the Preschool Office on or before December 31, 2022.

Acknowledgement

By clicking the "submit" button below, I acknowledge that I understand and agree to the terms indicated above: