Your child will also need the following forms in their file the first week of school:

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In order to register your child, you will need to pay the following: Registration Fee, Material Fee, and the first installment of Tuition. The above fees are non-refundable and non-transferable Your child will also need the following forms in their file the first week of school: completed Registration Card up to date Florida Immunization Record (obtained from physician) up to date Florida Health Record (obtained from physician) completed Child Record form completed and NOTARIZED Medical Release Form completed Photo Release form completed Snack Permission Form completed Volunteer Acknowledgement

completed Children and Discipline Form completed Flu Information Form (you will sign in August)

Methodist School for Early Education Registration Card Today s date Home phone # (permission to publish in directory? Y N ) Child s name Date of birth First ( Nickname, if any) Middle Last mo/day/yr Female Male Current member of 1 st United Methodist Church of Winter Park? Y N Address (permission to publish in directory? Y N ) Street City Zip code Mother s name Cellphone Father s name Cellphone Dad s Business # Mom s Business # Email address Local Emergency Contact (other than parents!): Name Phone Allergies Registering for: Kindergarten 5 day Pre-K 4 day Pre-K Older 3s/Young 4s 5 day 3s 3 day 3s Older 2s/Young 3s 5 day 2s 3 day 2s 2 day 2s Young 2s I understand that all fees are nonrefundable/non transferable Please see age eligibility on reverse side (parent signature)

Age eligibility for each class Kindergarten Pre-K Older 3s/Young 4s Threes Older 2s/Young 3s Twos Young 2s age 5 by September 1 st age 4 by September 1 st age 4 between September 1 st - December 31 st age 3 by September 1 st age 3 between September 1 st - December 31 st age 2 by September 1 st age 2 between September 1st -December 31 st

Methodist School for Early Education 2021/2022 TUITION & FEES To REGISTER your child, you will need to pay 1. The Registration fee 2. The Material fee 3. The 1st month tuition Registration There is a $100.00 NON-REFUNDABLE/NON-TRANSFERABLE registration fee per child due at registration. Material Fee This NON-REFUNDABLE/NON- TRANSFERABLE material fee is due when you register your child. These fees are used to purchase educational and consumable supplies and to HELP cover the cost of field trips, when applicable (PreK and Kindergarten classes). Class Material Fee Class Material Fee Kindergarten $450.00 3 Day 3 s $225.00 5 Day Pre-Kindergarten $315.00 Young 2 s $180.00 4 Day Pre-Kindergarten $290.00 2 Day 2 s $180.00 Young 4 s $290.00 3 Day 2 s $225.00 5 Day 3 s $315.00 5 Day 2 s $305.00 Tuition Tuition is based on a ten-month calendar, beginning in August and ending in May. TUITION IS AN ANNUAL FEE which can be divided, for your convenience, into 10 equal installments. Tuition is payable on an annual, semi-annual, or monthly basis. Full year tuition installments are due August 1 st, semi-annual installments are due August 1 st and January 1 st, and monthly installments are due the first day of each month. MSEE offers the convenience of TUITION EXPRESS, an automated payment processing system that allows you to pay thru automated deductions of your debit card or checking account. There is a $20.00 late fee charged for tuition installments received in the office after the 10 th of each month. A WRITTEN two-week notice to the school office is required when withdrawing your child from the program for any reason. You will be responsible for payment during this two-week period, whether or not your child is in the classroom. FIRST MONTH'S INSTALLMENT IS DUE AT REGISTRATION (THIS IS ALSO NON-REFUNDABLE/NON-TRANSFERABLE). YEARLY / MONTHLY TUITION RATES: Class: Tuition: year/month Church member/2nd child Class: Tuition: year/month Church member/2nd child Kindergarten $5350.00/$535.00 $5250.00/$525.00 3 Day 3 s $3650.00/$365.00 $3550.00/$355.00 5 Day PreK $4400.00/$440.00 $4300.00/$430.00 Young 2 s $2950.00/$295.00 $2850.00/$285.00 4 Day PreK $3950.00/$395.00 $3850.00/$385.00 2 Day 2 s $2950.00/$295.00 $2850.00/$285.00 Young 4 s $3950.00/$395.00 $3850.00/$385.00 3 Day 2 s $3850.00/$385.00 $3750.00/$375.00 5 Day 3 s $5000.00/$500.00 $4900.00/$490.00 5 Day 2s $6050.00/$605.00 $5950.00/$595.00 Lunch Bunch is $18.00 per day and is held from 12:00 2:00 p.m. Lunch Bunch, which begins the second week of school, is open to all children. Young s 2 s may begin attending Lunch Bunch in January. Church members will receive a discount on tuition for each child. Non-church member families with more than one child enrolled will receive a discount for the younger child(ren). Please note: expenses are continuous; NO credit will be given for absences. NO credit will be given for scheduled school holidays, vacation periods, or days cancelled due to weather emergencies or other unforeseen catastrophes. MSEE FOLLOWS ORANGE COUNTY PUBLIC SCHOOLS EMERGENCY PLAN ON Day ONE. After Day ONE, please call the school office for the message on answering machine. If there is no message, MSEE has no electrical power or has sustained damage to the building and, therefore, is unable conduct classes. MSEE also has plans for in-house emergencies. The Methodist School for Early Education admits students of any race, color, and national, or ethnic origin.

Information for Child s Record Date Enrollment Date- For office use only: 1. Child s Name Male Female Nickname Do you wish your child to be called by nickname? 2. Date of Birth Mo Day Yr Place of birth City County State 3. Home Address Street City Zip code Home Phone # Cell phone #s Email address 4. Check one: Parent(s) Guardian(s)- Father s name Mother s name Occupation Occupation Business Phone Business Phone Religious Denomination Religious Denomination Are you currently members of 1 st United Methodist Church of Winter Park? Marital Status Marital Status 5. Please list the names and birth dates of brothers and/or sisters, indicate which school they attend or where they are employed (if applicable)

6. With whom does child live? both parents both grandparents father grandfather mother grandmother other (please explain) 7. Is child adopted? If so, what has child been told about his/her adoption? 8. Characteristics of this child. (use back of sheet to give details you believe may be helpful in understanding this child) Yes No Does child play with other children of same sex? Of opposite sex? Of younger age? Of older age? Does child get along with his/her playmates? Does he/she bring friends home? Does he/she visit in the homes of friends? Does he/she attend Sunday School? Does he/she enjoy listening to stories/books? Do you often read to your child? Does he/she listen to the radio/cds/tapes? Does he/she watch television/movies? 9. What method of discipline is your child accustomed to?

What methods are most effective? Do parents agree on method? 10. How many hours of night sleep does your child get? Are there any sleep problems? If yes, please give examples Does child nap daily? 11. Is your child right handed? left handed? undecided? 12. Are there any food allergies? If yes, please list Is there any vomiting with food allergies? Refusal to eat? Please list any other allergies Does child require use of EpiPen? 13. Are there any problems in relation to toilet habits? 14. Does your child exhibit any of the following behaviors? Thumbsucking? Speech difficulties? (stuttering, etc.) Vision problems? Does he/she wear corrective shoes? 15. Does he/she exhibit any behavior which worries you? Give examples

16. Has child been away from family before? How does he/she react to your leaving? 17. What one word will best describe your child? What do you enjoy most about your child? # 18 is for pre k and kindergarten children only Will you give permission for your child to make educational excursions from the school under adequate supervision? (Parents will be driving their own vehicles) Yes No Signature No Would you like to transport (and chaperone) children on a field trip? Yes How many seatbelts does your vehicle have? 19. Will you give permission for your child to be photographed for newspaper articles, TV coverage, etc. promoting school related activities? Yes No Signature 20. In case of an emergency, which physician should we contact? Name Phone # 21. Would you give permission to call 911 in the event of an emergency Yes No Signature (every effort will be made to contact parents) 22. Whom should we call if child s parents are not available? Name Phone # Relationship to child?

23. Who will transport child to/from school? 24. What led you to select Methodist School for enrollment? 25. What do you expect your child to gain from attending preschool?

VOLUNTEER ACKNOWLEDGEMENT I attest my name is and (print volunteer/foster grandparent name) serve in the child care program known as (print name of child care program). I serve as a (check one) Volunteer As a volunteer, I do not receive any form of payment or compensation such as money, free or reduced child care, or any other type of compensation for my time. I also understand that as a volunteer, I must be under the constant supervision of a trained and screened staff person and may not be left alone or in charge of any group of children. If I volunteer 10 hours or more per month, or receive some form of compensation, I understand that I must submit background screening information in accordance with section 402.302(3), Florida Statutes, and complete the state mandated training requirements. Foster Grandparent As a foster grandparent, I adhere to all of the Foster Grandparent Program Guidelines pursuant to Title 45, Public Welfare, Code of Federal Regulations, section 2552.75. I also understand I must be under the constant supervision of a trained and screened staff person and may not be left alone or in charge of any group of children. I must begin training within 30 days of working in the child care industry in any Florida child care facility and have the following courses completed, either by instructorled or online, within one year from the working start date: Child Care Facility Rules and Regulations; Health, Safety and Nutrition; Identifying and Reporting Child Abuse and Neglect; and Special Needs Appropriate Practices. I attest that I have read and that I understand the foregoing. Volunteer/Foster Grandparent Signature Date To Be Completed by the Owner/Operator/Director I attest my name is, and I (print owner/operator/director name) am the owner/operator/director of the child care program identified above. The above (circle one) individual serves, under the above definition, as a volunteer/foster grandparent in this child care program. I attest that I have read and that I understand the foregoing. Owner /Operator /Director Signature Date CF-FSP 5217, Volunteer Acknowledgement, October 2017, 65C-22.001(7)(e), F.A.C.