REGISTRATION FORM FOR 2008/2009
				BETHEL LUTHERAN PRESCHOOL
				8712 Plantation Lane
				Manassas, VA  20110


Child’s Name_____________________________________    Birthdate  ______________
 
Parent’s Names____________________________________  Phone #________________

Address__________________________________________________________________

City______________________________________________Zip Code_________________


PLEASE CHECK THE CLASS YOU WISH TO REGISTER FOR:

                                                                                    TUITION                     REGISTRATION
                                                                                 (per month)                           FEE
4 YEAR OLD CLASS

___   Monday/Wednesday/Friday                                   $135                                  $70

___  Pre-Kindergarten(M/T/W/Th/F)                                $175                                  $70

3 YEAR OLD CLASS

___  Tuesday/Thursday                                                 $110                                  $70

___  Wednesday/Friday                                                 $110                                  $70

Enrolled student must be 3 (or 4) by September 30, 2008
IMPORTANT NOTE:  Your child’s original birth certificate must be shown to the director before the first day of classes and a copy of your child’s immunization record must be on file. Please obtain these forms before orientation in September.

Please note that your registration fee is NONREFUNDABLE.  Please return this form and registration fee to the Preschool office as soon as possible.  If you have any questions, please call Charlene Shepard Tuesday – Friday mornings at 368-7125 or evenings at 369-3448.    

               Bethel Lutheran Preschool does not discriminate on the basis of race, color, religion, national or ethnic origin