GREEN’S FARMS NURSERY SCHOOL, LLC

71 Hillandale Road       Westport, CT  06880

(203) 227-9363       E-Mail:  director@gfns.org

 

Application for Admission 2009-10

 

Child’s Name ________________________________________________          Known as: _________________

                        Last                                          First

 

Birthdate __________________________  Language spoken at home ______________________  Gender______

 

Home Address:

Street  _______________________________________  Town  _____________________   ZIP_____________

 

Home Phone ____________________ Cell Phones:  (Parent #1)______________(Parent # 2)________________

 

Parent #1  ______________________________________   Occupation  ________________________________

 

Business Address  ______________________________________   Telephone ___________________________

 

Parent #2  _____________________________________   Occupation  _________________________________

 

Business Address  ______________________________________   Telephone ___________________________

 

E-Mail  ______________________________________

 

Other Emergency Contact  _______________________________   Telephone  ___________________________

 

Child’s previous school, if any  ­­____________________  Green’s Farms Church Member? Yes______ No______

 

Sibling in program?  Yes _____   No_____   All Siblings/Ages _________________________________________

 

Placement and Tuition Policies

 

·         When a child is placed in any of the classes selected by the child’s parent/guardian, a contract is sent out.

·         Placement is confirmed when the school receives both the signed contract and the required tuition payment of 33% of the annual tuition shown in the CLASS SELECTION section of this form.  Unless prior arrangements have been made to accommodate special circumstances, this step must be completed  by the date noted on the contract.  Otherwise, the placement will be offered to another child.

·         Balance of tuition is due in 2 installments: May 15 (33%); and October 15 (33% less the $200 paid with the application fee).  The school reserves the right to add interest or appropriate fees for late payments of tuition.

·        If the school cancels a class due to under-enrollment or any other reason, all tuition paid will be refunded in full.

·        Applications will be processed on a first-come-first-served basis according to the postmark date on the envelope.  Placement will begin on November 10, 2008 for current GFNS children and siblings of former GFNS children.  All such applications bearing postmarks on or before November 10 will be processed at the same time.  On Monday, November 17, 2008 placement begins for all other applications.  No hand-delivered applications will be processed until after 1/5/09                                    

 

 

Indicate your class choices in order of preference, using Class ID. Four year olds may also enroll in the 4’s Plus and/or 4’s Friends classes at this time.   Your child will be placed in the highest possible of your indicated choices.   Please do not mark any classes that you do not want or cannot accept.

 

Class Selection                                              Additional Selections

 

________   1st choice                                    ________   4’s Plus

                                                                       

________   2nd choice                                       

                                                                      ________  4’s Friends

________   3rd choice                                  

 

The following fee schedule reflects 2009-10 tuition rates. 

Class ID                       Class Days and Hours

                   

Tuition $/year

 

                         Four Year Old Classes – Must be four by December 31, 2009  

 

 

4A

4B 5 Day

4B 3 Day

4C

4’s Plus

4’s Friends

 

    (M - F      8:45 – 11:45 a.m.)

    (M - F      8:45 - 11:45 a.m.)

    (M,W,F    8:45 – 11:45 a.m.)

    (M,W,F    12:15 – 3:15 p.m.)

    (T,Th       11:45 – 1:40 p.m.)

    (M,W,F   11:45 -  1:40 p.m.)   

 

$6,550

$6,550

$3,930

$3,930

$1,675

$2,510

                          

                            Three Year Old Classes – Must be three by December 31, 2009

 

 

3A

 

 (M,W,F      8:45 – 11:45 a.m.)

 

$3,930

3B

 

(M,W,F    12:15  –  3:00 p.m.)

 

$3,600

3C

 

(T,Th         8:45 – 11:45 a.m.)

 

$2,615

 

 

 

 

                              Two Year Old Classes – Must be two by September 1, 2009

                       

 

2A

 

 (M,W,F        8:45 – 10:45 a.m.)

 

$5,150

2B

 

 (M,W,F      11:00 – 1:00 p.m.)

 

$5,150

2C

 

 (T,Th            8:45 – 10:45 a.m.)

 

$3,440

2D

 

 (T,Th          11:00 – 1:00 p.m.)

 

$3,440

2E

 

 (T, Th        1:45 – 3:15 p.m.)

 

$2,575

 

A registration fee of $250 must accompany this application.  $200 of this fee will be applied to the final payment of the annual tuition, when paid, or refunded if the child remains on the waitlist and is not placed in a requested class by the opening day of school.  Waitlists are maintained until September, and refunds for non-placement will be made at that time to parents who have not moved out of the area.  Refund requests will not be honored before the beginning of school.  Otherwise, this $250 fee is non-refundable.

 

Parent’s Signature ________________________________________             Date ________________________                                                                                        

 

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For Office Use only:

Date Received ____________    Check #/amount _________________________    Placement______________

                                                                                                                                    Revised 10/10/08