The registration fee is due upon submission and is non-refundable.

Parent/Guardian 1 Information

Name

Address

Phone Number

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Employer

Parent/Guardian 2 Information

Name

Address

Phone Number

Employer

Child's Information

Child's Name

Child's Gender

Male
Female

Child's Date of Birth

Has your Child attend another Program

If yes, Where:

Does your child currently receive Early Intervention Services?

If yes, please elaborate:

Registration Options

Morning Classes

Registration

Monday, Wednesday AM ($55.00) [2 remaining]
This is a class for 3 year olds only and runs on Monday, and Wednesday from 9am-11.30am mid-September to mid-May.
Tuesday, Thursday AM ($55.00) [5 remaining]
This class is for 3 year olds only and runs on Tuesday and Thursday from 9am-11.30am mid-September to mid-May.

Afternoon Classes

Registration

Monday, Wednesday, Friday PM ($55.00) [Join Waitlist]
This is a class for 3 and 4 year olds, and runs on Monday, Wednesday, and Friday from 12:30pm -3pm mid-September to mid-May.

Pre-Kindergarten

Registration

Pre-K ($55.00) [Join Waitlist]
This is a class for 4 & 5 year olds who have completed a year of Nursery School. (Must be 4 by 12/1/2026). This class runs from Monday to Friday from 9:00 -11:30am from September to June.

Coupon Code

Running Total

$0.00

Total

$0.00

Release/ Emergency Contact Information

My Child may be released to the following people (Please do not list parents)

Name

Phone Number

Relationship to Child

Emergency Contact

Name

Phone Number

Relationship to Child

Emergency Contact

Name

Phone Number

Relationship to Child

Emergency Contact

Release Permission

Terms

I, the undersigned, hereby enroll my child in the Pearce 4 Kids Child Care Center beginning in the fall of 2025. It is understood that Pearce 4 Kids assumes the responsibility for my child’s well-being during the hours of care and will make every effort to contact the parent should any type of emergency arise. I agree that in case of accident or injury, emergency medical care may be given in the event that I (or designated persons) cannot be reached. I also give consent for my child to take part in field trips or excursions away from the facility under the supervision of the P4K staff. Because P4K staff have obligations outside of their time commitment to my child during the program time, I understand that late pick up fees will be charged at a rate of $10.00 per child, in 10 minute increments.

I, the undersigned, agree to the terms above.

Medical Information

Doctors Name

Doctors Phone Number

Allergies

ADD/ADHD:

Special food/activity Instructions:

Other medical conditions:

Financial Agreement

I agree to pay tuition in full or make monthly tuition payments per child, per program.

2 day/week cost - $1320 (monthly payment - $165 over 8 months)
3 day/week cost - $1744 (monthly payment - $218 over 8 months)
Pre-K cost - $2736 (monthly payment - $342 over 8 months)

I understand that the $55.00 registration fee is not part of the total tuition amount and is non-refundable. As stated in the Nursery School/Pre-K Handbook, a $20.00 late fee will be charged for any tuition payments more than 10 days past due. Withdrawals from the program will be reimbursed as stated in the handbook.

I, the undersigned, agree to the terms above.

Photograph Permissions

Please check all that apply:

Bulletin Boards/Communication Software

I give my permission for my child’s picture to be taken and used in the classroom communication between families and on bulletin boards in the hallway at Pearce 4 Kids.

Publicity

I give my permission for my child’s picture to be taken and used in publicity about Pearce 4 Kids (no full names will be used without written consent by a parent).

Almost done. Where should we send the confirmation?

Name

Nursery School and Pre-Kindergarten Registration 2026-2027

Parent/Guardian 1 Information

Parent/Guardian 2 Information

Child's Information

Registration Options

Morning Classes

Afternoon Classes

Pre-Kindergarten

Release/ Emergency Contact Information

Release Permission

Medical Information

Financial Agreement

Photograph Permissions

Almost done. Where should we send the confirmation?