Registration Application ( Not Currently Enrolled )

Parent First Name *

Parent Last Name *

Phone Number *

Email *

Elementary School *

Based on current address, what elementary school your student(s) will attend?

Students
First Name*	Last Name*	Birth Date*	Currently Enrolled*	First Choice*	Second Choice*
First Name *	Last Name *	Birth Date * Month Day Year	Currently Enrolled * No Yes	First Choice *	Second Choice *

I give permission for my child to be involved in the activities of Mt. Zion UMC Preschool Program.
A registration fee for each child enrolling in the program will be due at the time of enrollment. This payment is non-refundable unless a class must be cancelled. If you are registering 2 children, you will receive a 50% discount on the second registration fee. This only applies to registration fees and the larger amount must be paid in full.
Registration for the Young Fives class is refundable by March 29th.
The 1st tuition payment is due by June 30th and will be non-refundable.
The remaining 9 payments are due the first of each month from September through May. Accounts not paid by the 10th of the month will be charged a $25.00 Late Fee.
Mt. Zion Preschool will be closed when the Cobb County schools are closed and will dismiss early on all Cobb County Early Release days. In addition, Mt. Zion Preschool closes one Friday in November for the church craft fair, one day in the fall & one day in the spring for teacher training events. Other days may be added as needed.
Mt. Zion Preschool is a private program. Our primary goal is to provide a loving and positive preschool experience for all children. Mt. Zion Preschool reserves the right to withdraw a student at any time for reasons regarding inappropriate behavior, emotional disturbances, or health, should we determine it to be in the best overall interest of the program and the other children in our care. Children in all 3, 4, & 5 yr.-old classes MUST be completely potty-trained in order to participate in the preschool program. Should a child be dismissed from the program, the prorated remainder of that month’s tuition will be refunded.
I give permission to include my child’s name, address, and phone number in the preschool directory, which is only provided to registered students’ parents.
I release Mt. Zion Preschool and Mt. Zion UMC and its’ representatives from responsibility for any accidents that occur, and I authorize its’ representatives to seek medical attention for my child if I cannot be reached in the event of an emergency.
I acknowledge that Mt. Zion Preschool is a license-exempt program.