2018-2019

‘Bright Beginnings Preschool’ Registration Form

Date:
Membership is required

Name of Child: (Last) (First)

Date of Birth: / / Child’s age as of 10/01/18 Sex: Male Female

Address: City: Zip Code:

Home Phone #: ( )


Mother’s Name: Cell phone #:

Mother’s Business Address:

Mother’s Business Phone #: ( ) E-Mail Address:



Father’s Name: Cell phone #:

Father’s Business Address:

Father’s Business Phone #: ( ) E-Mail Address:



Name and ages of Siblings:

I have read, understand and agree to all of the information as stated in the preschool brochure.
I hereby give permission for the JCC of Middlesex County to photograph or video my child(ren) and to use these pictures for
brochure or promotional purposes.
The JCC and Bright Beginnings Preschool are not responsible for clothing or personal property lost on its premises or while on
school related trips.
I hereby give permission for my child to participate in JCC preschool programs and activities, including trips away from the JCC
of Middlesex County.
The JCC does not assume responsibility for injury. In the event that I, or my physician cannot be contacted in an emergency, I
hereby grant permission to contact the nearest medical facility or physician to give emergency treatment at no cost to the JCC.
I understand that any changes to my child’s day must be done by the 10th of the prior month in order for the changes to take effect.
First month’s tuition, June’s tuition plus a registration fee are due upon registration. You will be billed 8 equal installments,
payable on or before the 1st of every month, October through May.
All monies are non-refundable and non-transferable.

__________________________________________________________ _____________________
Signature of Parent or Guardian Date
Preschool Classes
Kinderkorner (2 ½ year olds)
 M/W/F 9:00am-11:30am $240 per month
 M-F 9:00am-11:30am $385 per month

Three Year Olds

 M/W/F 9:00am-12:00noon $290 per month
 M/W/F 12:30pm-3:00pm $240 per month
 M-F 9:00am-12:00pm $385 per month

Four Year Olds

 M-F 9:00am-12:00pm $385 per month
 M-F 12:30pm-3:00pm $325 per month

Enrichment Classes
All enrichments run 10 months, from September through June. Enrichment fees are due at registration.
You will be billed in 10 equal installments, payable on or before the first of each month.
Please check the Enrichments your child will be attending:
FUN’N’MUNCH & Afternoon Enrichments: 12:00noon – 3:00pm
$70 per month for each Enrichment class that meets Monday through Friday
 Monday FUN’N’MUNCH / *Stem Activities/Physical Education
 Tuesday FUN’N’MUNCH / American Red Cross Swim Lessons
 Wednesday FUN’N’MUNCH / No-Bake Cooking / Arts & Crafts
 Thursday FUN’N’MUNCH / American Red Cross Swim Lessons
 Friday FUN’N’MUNCH / Literacy/Legos/Games

*STEM is an acronym for Science, Technology, Engineering and Math

All monies are non-refundable and non-transferable.

Checks are payable to: The JCC of Middlesex County or credit cards are accepted.

For office use only: Date:________________ Receipt #:_________________________

Total Cost of Preschool: =1st Month___________ + June___________ + $40 Registration Fee $_________+
PLUS
Cost of Afternoon Enrichments: ___________ = Total $_______________