2024-2025 Holy Trinity Preschool Child's Full Name First Name Last Name Preferred Name Address Address 1 Address 2 City State/Province Zip/Postal Code Country Age by Sept 1, 2024 3 4 5 Date of Birth MM DD YYYY Gender Male Female Religion Father/Guardian's Name First Name Last Name Father/Guardian's Employer Father/Guardian's Mobile Phone (###) ### #### Father/Guardian's Work Phone (###) ### #### Mother/Guardian's Name First Name Last Name Mother/Guardian's Employer Mother/Guardian's Mobile Phone (###) ### #### Mother/Guardian's Work Phone (###) ### #### Mother/Guardian's Home Phone (###) ### #### Emergency Contact First Name Last Name Relationship Emergency Contact Mobile Phone (###) ### #### Emergency Contact Work Phone (###) ### #### Emergency Contact Home Phone (###) ### #### Child resides with: Both Parents Mother Father Grandparents Other Siblings Names and Ages Parent's Primary E-mail * I understand that an up-to-date, completed Immunization Form #3231 is required the first week of school. The Archdiocese of Atlanta does not recognize an exemption based upon matter of conscience or religious objection * I understand that by entering my Name in the box below, I am effectively providing my signature. First Name Last Name I understand that to participate in Holy Trinity Preschool, my child must be independent with toileting by the time school starts in August * I understand that by entering my Name in the box below, I am effectively providing my signature. First Name Last Name Is your child receiving special services such as Babies Can’t Wait, speech, OT, PT or for behavior? * Yes No If yes, please explain My child has a medical condition/or allergy that requires medication and a physician’s attention. * Yes No My child: Has no allergies Has an Epi-pen My child is allergic to: I understand that tuition is based on a yearly fee which is broken down into monthly installments. The first payment is due by August 1. * I understand that by entering my Name in the box below, I am effectively providing my signature. First Name Last Name A non-refundable registration fee equal to one month’s tuition is payable upon registration. Please pay online. Placement is based on child’s age as of Sept 1. Tuition for the 2024-2025 school year is: (Please note that classes may change depending on number of children registering for each class) 2-Day (3 year old) - $195 3-Day (3 year old) - $210 5-Day (3 year old) - $240 (FULL) 5-Day (Pre-K) - $240 (FULL) Your registration has been received,IMPORTANT NOTICE:YOUR SPOT IS NOT GUARANTEED UNTIL YOU RECEIVE CONFIRMATION FROM THE PRESCHOOL DIRECTOR.Thank you!
