2020-2021 Registration Form  (public registration begins 3/15/21)

Child's Name: ___________________________________________

Male _______   Female ________  DOB: _____________________

Parent's Names: _________________________________________

                           _________________________________________

Address:  _______________________________________________

                 _______________________________________________

Preferred Phone: _________________________________________

E-mail:   ________________________________________________

Class Preferred:  _________________________________________

   ** Tuition is due in 10 equal payments beginnings with  Adv. June
       2022 (due by June 30, 2021)  all other payments will be due by
       10th day of each month (September 2021 - May 2022)

FOR OFFICE USE:

Registration fee:  $90    -  Date paid ______________

Check # ______________  Cash ________________

Adv, June 2022  -  Date paid ____________________

Amount:  _____________ 

 Check #:  _____________   Cash: _______________

RETURN FORM & REGISTRATION FEE TO:

Blessed Beginnings Preschool
32 Main Street
Sparta, NJ  07871