2024-2025 Pre School and Toddler Application

Child Information

Child's First Name:

Child's Last Name:

Child's Date of Birth:

Gender

MaleFemale

Address Information

Street Name:

Apt #:

Town:

State:

Zip Code:

Parent/Guardian Information

Parent/Guardian First Name:

Parent/Guardian Last Name:

Cell Phone #

E-mail Address

Class Selection

Choose One:

Check 3 or more days of attendance

MondayTuesdayWednesdayThursdayFriday

Have you applied to the UPK Program at your child's home school?

YesNo

Tuition Information

Toddlers (2 days a week) $100.00/month

Toddlers (1 day a week) $50/month

3-4 Year Olds (3 days a week) $170.00/month n

3-4 Year Olds (4 days a week) $225.00/month

3-4 Year Olds (5 days a week) $280.00/month

4-5 Year Olds pre-k (5 days a week) $280.00/month

Sibling Discount

1st Child 100% tuition 2nd child 70% tuition of the lower tuition rate 3rd child 50% tuition of the lower tuition rate

Payment Information

Payment Type

E-mail bill for on-line paymentI will drop off a check/cash (413 Bay Road, Queensbury)

E-mail bill to:

A non-refundable registration fee of $50.00 to guarantee your child’s slot is required with this application.

This registration fee is for supply purchases for the year.

Contact Information

For more information e-mail Isabelle Dickens at idickens@adkenrichment.com or call

518-761-2025 ext 102