2023-2024 Registration
Please print clearly
We prefer online registrations . www . isd622 . ce . eleyo . com
Guardian |
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Guardian |
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Email |
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Email |
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Address |
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Address |
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City |
ZIP |
City |
ZIP |
Home Phone |
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Home Phone |
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Alternate Phone |
work | cell |
Alternate Phone |
work | cell |
Guardian |
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Guardian |
Email |
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Email |
Address |
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Address |
City |
ZIP |
City |
Home Phone |
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Home Phone |
Alternate Phone |
work | cell |
Alternate Phone |
Names of adults attending class Names of children attending class : |
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Child 1 |
Birthdate |
Gender |
Allergies , special needs , etc |
Child 2 |
Birthdate |
Gender |
Allergies , special needs , etc |
Child 3 |
Birthdate |
Gender |
Allergies , special needs , etc |
ZIP work | cell
Semester I ( Sept 11 , 2023 – Jan 19 , 2024 ) Semester II ( Jan 22 , 2024 – May 31 , 2024 ) Class number / name # / # /
Class fee ( for first child )
See sliding fee scale on page 6 $ $
Add half the class fee for each additional child attending the same class
$ $
Total tuition $ $
Total payment
Semester I tuition is due with registration * Semester II tuition is due on Jan . 19 , 2024
$
* Monthly payment will be accepted for the Taste of Preschool Class ( Fee A ). The first month ’ s payment is due at time of registration . The remaining payments will be due the first of each month through April 1 , 2024 . Please contact the ECFE office for details by calling 651-748-7280 .
Payment
□ Check # ( payable to ISD 622 ) □
Visa
□ MasterCard
□ American Express
□ Discover
Name on card Card # Exp . date |
/ |
Verification code ( 3 digit ) |
Signature |
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If your class is full , please indicate your second choice class number and name # /
Note : Registration is not complete without : • birth certificate
• immunization record *
• enrollment packet
• payment
* Immunization records can be faxed directly from your clinic to the ECFE office at 651-748-7271 .
E C F E
Office use : Date Registration received :
7