To assure your child's place, please return this REGISTRATION FORM  and a NON-REFUNDABLE $25 registration fee.  (Make checks payable to First Presbyterian Church Nursery School or  F. P. C. N. S.)

[Scholarships are available.  Please contact the Nursery School Director.]

PLEASE PRINT:
Child's Name; ________________________________  Nickname__________________Sex:______
Date of Birth:____________________Phone:___________________________
Address:________________________________________________________________________
Please check the class in which you wish to enroll your child.  **To be eligible to attend, your child must be three years old on or before August 1 for 3-year old classes and four years old on or before August 1 for the 4-year old classes.    (The 5 day class is designed for the older 4 and younger 5 year olds.)

MARK YOUR 1ST, 2ND, AND 3RD CHOICES:  (YEARLY MATERIALS FEE IS IN ITALICS--due in September)

Classes for 3 + 4 yr. olds:  _____ Two-day class  9-11:30 a.m. T,Th  (Mat's Fee-$20)      $85/mo.
     (3 yrs. By Aug. 1)         _____ Three-day class 9-11:30 a.m. M, W, F (Mat's Fee-$30) $105/mo.

Classes for 4 + 5 yr. olds:  _____Three-day class 9:30-12 p.m. M,W,F (Mat's Fee-$30) $105/mo.
     (4 yrs. By Aug. 1)        _____Five-day class 9:00-11:30 a.m. M-F (Mat's Fee $35) $135/mo.

Mother's Name:_________________________Phone(H)________________(W)_______________
Address: _______________________________________________________________________
Father's Name:  _________________________Phone(H)_______________(W)________________
Address:________________________________________________________________________

**PRE-SESSION CHILD CARE is available from 8:00-9:30 a.m. @$5.00 per day:

I wish to enroll in pre-session child care:  ____Yes   ____No  Days:  M  T  W  TH  F   Time:_________
CHECK ALL THAT APPLY:
Church Member _____  Currently Attending (this child) _____  Previously Attended (another child) ___

Parents' Signature  _______________________________________________________________

**The Nursery School Board reserves the right to prioritize student enrollment based upon previous enrollment.