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Cary Park District Preschool
2015 - 2016 Registration
s m i l e s
h a p p e n
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Registration requirements:
l A copy of a birth certificate for all newly enrolled students.
l A $50.00 yearly, nonrefundable, per child registration fee.
l All children must be completely toilet trained by the first day of school (no pull-ups).
l Proof of Cary Park District resident status.
Preschooler’s Name ________________________________________ Birthdate _____-_____-_____
Circle One:
M
F
Parent’s Name(s)_______________________________________________________ Phone (____) _______-___________
Address _______________________________________________________________________________________________
Number
Street
City
Zip
Email __________________________________________________________________________________________________
3 Year Old Class (must be 3 on or before 12-31-15)
DaysTimeMonthly Fee (resident/non-resident)
_______ T Th
9:00-11:30 am
$140.00/$175.00
3 Year Old Class (must be 3 on or before 9-1-15)
DaysTimeMonthly Fee (resident/non-resident)
_______ M W F
9:00-11:30 am $160.00/$200.00
4 Year Old Class (must be 4 on or before 9-1-15)
DaysTimeMonthly Fee (resident/non-resident)
_______ M-Th
9:00-11:30 am
$190.00/$238.00
4’s and 5’s Class (must be 4 on or before 9-1-15)
DaysTimeMonthly Fee (resident/non-resident)
_______ M-F
12:15-2:45 pm
$220.00/$275.00
Tuition is based upon the number of scheduled school days. For your convenience, the yearly tuition has
been divided into nine (9) equal payments (as stated above). Tuition payments are due by the 15th of
each month with the first payment due August 15. Payments received after 10:00 pm on the 20th of any
month will be assessed a $20.00 late fee. A payment booklet will be mailed to your home by August 1.
Payments are to be dropped off or mailed to the Community Center, 255 Briargate Road, Cary, IL 60013.
Please make all checks payable to the Cary Park District.
Parent Signature _______________________________________________ Date ______ - ______ - _______
OFFICE USE ONLY
Registration Fee ($50.00): Cash ______ Check # ______ Visa/MC/Discover_________________________________
Birth Certificate __________________ Proof of residency verified _________________ Staff Name________________
Sibling Discount: Sibling Name ________________________________________ Class Enrolled _______________________
White Copy - Accounting
Yellow Copy - Preschool
Pink Copy - Parent