Eagle's Wings Preschool and Pre-K ~ Registration Form

Registration

If you are enrolling more than one child, please fill out and submit the form for each child. To register for summer programs click here.

If you have any questions about Eagle's Wings or the registration process, don't hesitate to ask! Call Midge Strong-Beers at 206-781-1227 or email MidgeBeers@gmail.com.

Child's Name:

Child's Birthdate:

Child's Gender:		Male Female

1st Parent's Name:

1st Parent's Email:

1st Parent's Address:

1st Parent's Home Phone:

1st Parent's Work Phone:


2nd Parent's Name:

2nd Parent's Email:

2nd Parent's Address:

2nd Parent's Home Phone:

2nd Parent's Work Phone


Emergency contact name & phone:

Allergies?

Food Restrictions?

Please use this space to tell us anything you want us to know about your child:

I would like to reserve a place for my child in:

· Morning Preschool for 3-4 year olds: 8:30am to noon
	Monthly rates: 5 days per week - $450 4 days per week - $365 3 days per week - $275 2 days per week - $200	Start Date: Setember 2010
	Add 8:00-8:30am (see Hours & Rates page for extended hours fees) Add 12:00pm-5:00pm (see Hours & Rates page for extended hours fees)

· Afternoon Pre-K for 4 1/2 to 5 year olds: 1:00pm to 5:00pm
	Monthly rates: 5 days per week - $500 4 days per week - $425	Start Date: September 2010
	Add 8:00am-1:00pm, 5 days per week - additional $500 Add 8:00am-1:00pm, 4 days per week - additional $400

· Full Day for 2 to 3 year olds: 8:00am to 5:00pm
	Monthly rates: 2 days per week - $465 3 days per week - $635	Start Date: September 2010
	Select which days of the week: M Tu W Th F

	Please note: One week's tuition is required to hold your child's place. All but a $25 registration fee will be applied to your first month's tuition.

Eagle's Wings Preschool and Pre-K
Midge Strong-Beers
8318 13th Ave. NW
Seattle, WA 98117
tel: (206) 781-1227
MidgeBeers@gmail.com