Re-Enrollment Form 2011-2012

www.splslakeland.org

Please complete and return to the school office by Friday, March 11, 2011.

Parent Name: Date:

First Child Name:

Program (circle one) PK3 PK4 Kindergarten Elementary Middle School

If PK, days per week (circle one): 2 days 3 days 5 days

Registration Fee (write in amount): Full $_______ Half $_______

Second Child Name:

Program (circle one) PK3 PK4 Kindergarten Elementary Middle School

If PK, days per week (circle one): 2 days 3 days 5 days

Registration Fee (write in amount): Full $_______ Half $_______

Third Child Name:

Program (circle one) PK3 PK4 Kindergarten Elementary Middle School

If PK, days per week (circle one): 2 days 3 days 5 days

Registration Fee (write in amount): Full $_______ Half $_______

Registration Fee Schedule:

PK 2 days—Full $130 / Half $65 PK 3 days—Full $215 / Half $107.50 PK 5 days—Full $215 / Half $107.50
Kindergarten—Full $330 / Half $165 Elementary—Full $375 / Half $187.50 Middle School—Full $400 / Half $200

Balance of Registration Fee Due by May 1, 2011.

(If half of registration fee is paid, the balance of the registration fee is due by May 1, 2011.)

Total Registration Fee Attached: $

Please complete and return to the school office by Friday, March 11, 2011.