Welcome! Thank you for choosing to join the AMPS family where your child will learn in a loving, supportive environment. Please fill out this registration form to reserve a place in the School for your child for the 2021-2022 academic year. Please sign and return this copy with the registration fee ($95 non-refundable) to the School. You will be given a copy for your records.

Child's Name *

Nickname

Address *

Child's Age *

Date of birth *

Gender *

Male

Female

Program *

Full Day 8:30 – 3:00 pm

Half Day 8:30 – 12:30 pm

Before Care

After Care

Parents Details

Parent’s Name: *

Address *

Cell Phone *

Alt. Phone

Occupation *

Parent’s Name *

Address

Cell Phone *

Alt. Phone

Occupation *

Has your child attended a preschool program previously? *

Yes

No

What is your child’s favorite activity? *

Does your child have any siblings? *

Yes

No

Name

Age

Name

Age

Does your child have any health concerns? Allergies, Asthma etc. *

DISCOUNTS OFFERED: Sibling Discount - Full tuition applies to the first child, first sibling receives a 10% discount, second sibling receives 5% discount. I understand that the school will reserve a place for my child for the upcoming academic school year after receipt of the Registration Fee. I understand that written notification must be given through E-mail prior to July 1st should I choose not to enroll my child.

Signature *

Clear

Date *