EARLY BIRD REGISTRATION
Early Bird Hours: 7:15 a.m. to 7:45 a.m.
Cost: $3.00 per day or $30.00 per month
Please fill out one form for each student enrolling in EARLY BIRD
Registration is not complete unless form is signed below.
December 17, 2008
Student’s Full Name:
Grade/Class:
Parent/Guardian’s Name:
Work Phone:
Mother/Guardian:
Father/Guardian:
Cell Phone:
Mother/Guardian:
Father/Guardian:
Student is Enrolling for:
Full Time
Part Time
Part Time: (Please check days needed)
Monday
Tuesday
Wednesday
Thursday
Friday
Payments are due as follows:
Full Time (Monthly)
Payment in full is due by the 5th of each month. There is no credit for school absences, sick days, or suspensions.
The first month’s payment is due at the time of registration.
Part Time (Drop-ins)
Payment due on the 5th day of each month (invoices will be sent home on the 25th of every month).
Note: For students who enroll in Early Bird on a Part Time basis, a $15.00 deposit must be maintained on account throughout the school year and will be applied to the final month’s billing.
This deposit is due at the time of registration.
Payments may be made by cash, check, money order, or debit/credit card. There is a $32.00 NSF fee for each returned check.
Note: Delinquent accounts will be charged monthly a $25 late fee or 5% of the outstanding balance, whichever is more.
I agree to pay the Early Bird program cost of:
$3.00 per child per day (any part of the day equals the full day), billed monthly and payable on the 5th of each month; $15.00 due at registration.
$30.00 per child per month payable on the 5th of each month; $30.00 due at registration.
Please charge my VISA / MASTERCARD / DISCOVER.
Card Number:
Exp. Date:
My check, made payable to ISL, is attached.
Parent Signature
Date:
www.isl-edu.org
