APPLICATION 2017- 2018 SCHOOL YEAR
Child’s full name:____________________________________________________Sex:_________
Nickname (Name you want on child’s school name tag):____________________________________________
Date of Birth:____________________ Home Phone :________________________________________
Home address:________________________________________________Zip code:_____________________
Parent’s Name:______________________________Work / Cell Phone:______________________________
Email address:_____________________________________________________________________________
Parent’s Name:_______________________________Work / Cell Phone:______________________________
Email address:_____________________________________________________________________________
Check one below:
_____Current family of the Indian Hill Church Nursery School _____Past family of I.H.C.N.S.
_____ Member of the Indian Hill Church
_____New Family
Programs:
____ Twos Program (2 by September 30) – 2 Days: Monday and Friday 9-12
____ Threes Program (3 by September 30) – 3 Days: Tuesday – Thursday 9-12
____ Threes Extended Program (3 by September 30th) – 3 Days: Tuesday – Thursday 9-12 and Extended Day
Please Choose: One day (circle one) – Tuesday, Wednesday, Thursday ( 2nd choice: ________)
Two days (circle two) – Tuesday, Wednesday, Thursday (2nd choice: ________)
Three days – Tuesday, Wednesday, Thursday
____ Fours Program (4 by September 30) – 4 Days: Monday – Thursday 9-12
____ Fours Extended Program (4 by September 30th) - 4 Days: Monday – Thursday 9-12 and Extended Day
Please Choose: One day (circle one) – Tuesday, Wednesday, Thursday (2nd choice:_________)
Two days (circle two) – Tuesday, Wednesday, Thursday(2nd choice:__________)
Three days – Tuesday, Wednesday, Thursday
____ Rising Fives (5 by January 15) – 4 Days: Monday, Tuesday and Thursday 9-12; Wednesday 9-2 (Children attend
Extended Day Enrichment)
____ Rising Fives Extended Program - 4 Days: Monday, Tuesday and Thursday 9-12; Wednesday 9-2 (Children attend
Extended Day Enrichment) and Extended Days
Please Choose: One day (circle one) – Tuesday, Thursday (2nd Choice:________)
Two days (circle two) – Tuesday, Thursday
____ Friday Enrichment: Friday 9-12: This is a mixed age classroom, children must be three by September 30th to
attend.
All applications must be accompanied by a $75.00 per child, non-refundable registration fee.
*All enrolled families are required to make the first semester tuition payment by May 1, 2017. Second semester is due
Nov. 1, 2017. This tuition payment is non refundable and you are liable for the full year’s tuition, or until the
position is filled with an age appropriate child. Your signature signifies you understand this policy.
Parent Signature:_______________________________________________ Date:____________________
Make checks payable to: Indian Hill Church Nursery School
* Scholarship money is available based on financial need. Please read cover letter for details.
* Monthly payment plans are available upon director’s approval
Office use
Date: ______
Registration fee:75.00
Check#______
6000 Drake Rd Cincinnati Ohio 45243 phone 513-561-5513 fax 513-561-0894 [email protected] www.ihcns.org
TUITION FOR THE 2017– 2018 SCHOOL YEAR
Twos Program (2 by September 30)
2 days per week- $1200 annually ($1230.00 including activity fee). 1st semester: $630.00 (includes $30 activity fee)
due May 1, 2017 / 2nd semester: $600.00, due Nov. 1, 2017.
Threes Program (3 by September 30)
3 days per week - $1810 annually ($1840 including activity fee). 1st semester: 935.00 (includes $30 activity fee) due
May 1, 2017 / 2nd semester: $905.00, due Nov. 1, 2017.
3 days per week plus one Extended Day- $ 2224 annually ($ 2254.00 including activity fee). 1st semesters: $1142.00
(includes $30 activity fee) due May 1, 2017/ 2nd semester 1112.00, due Nov. 1, 2017
3 days per week plus two Extended Day- $2765.00 annually ($ 2795.00 including activity fee) 1st semester’s tuition
$1412.50 (includes $30 activity fee) due May 1, 2017/ 1382.50 2nd semester due Nov. 1, 2017.
3 days per week plus three Extended Days- $3121.00 annually ($3151.00 including activity fee) 1st semester’s
tuition:1590.50 (includes $30 activity fee) due May 1, 2017/ 2nd semester: $1560.50 due Nov. 1, 2017
Fours Program (4 by September 30)
4 days per week - $2375 annually ($2,405 including activity fee). $1217.50 1st semester (includes $30 activity fee)
due May 1, 2017 / 2nd semester is $1187.50, due Nov. 1, 2017.
4 days per week plus one Extended Day – $2800 annually ($2830 including activity fee). 1st Semester: $1430.00
(includes $30 activity fee) due May1, 2017 / 2nd semester $1400.00, due Nov. 1, 2017.
4 day per week plus two Extended Day $3330 annually ($ 3360 including $30 activity fee) 1st semester tuition:
$1695.00 (includes $30 activity fee) due May 1, 2017/ 2nd semester tuition: $1665.00 due Nov 1, 2017.
4 days per week with three Extended Days $3686($ 3716 including $30 activity fee) 1st semester tuition: $1873.00
(includes $30 activity fee) due May 1, 2017/ 2nd semester tuition: $1843.00 due Nov 1, 2017.
Rising Fives (5 by January 15 and completion of the Fours Program Recommended)
Rising Fives - $2800.00 annually ($2830.00 including activity fee). 1st semester: $1430.00 (includes $30 activity
fee) due May 1, 2017 / 2nd semester: $1400.00, due Nov. 1, 2017.
4 day per week plus one Extended Day $3330 annually ($3360 including $30 activity fee) 1st semester tuition:
$1695.00 (includes activity fee) due May 1st 2017/ $1665 Second Semester tuition due Nov 1, 2017.
4 days per week with two Extended Days $3686($3716 including $30 activity fee) 1st semester tuition: $1873.00
(includes $30 activity fee) due May 1, 2017/ 2nd semester tuition: $1843.00 due Nov 1, 2017.
Friday Enrichment
20 dollars per class, paid monthly
*Familes that sign up for Extended Day included in their tuition receive a minimum discount equal to one week of Extended Day free. This has
been factored into the number above.
* Families that sign up for Exteneded Day at time of enrollment understand that this amount is considered their total tuition payment and
tuition policies apply.