Preschool Intent FormOur preschool program is designed for potty-trained three and four year olds. Please complete one form per child. Child's Full Name Age Date of Birth Phone Number Mother's Name Father's Name Street Address City Email Has your child attended any other preschool program? Has your child gone through Child Find or have an IEP? If yes, please explain the outcome: How did you hear about ACA's Pre-K program? I intend to enroll my child in ACA's Pre-K class option: M–F Full-Day Program (7:45 a.m.–3:05 p.m.) $845 per month, (September–May)* M–F Half-Day Program (7:45–11:15 a.m.) $475 per month, (September–May)* Before and After Care (7:15 a.m. drop off & 6:00 p.m. pick up)* Parent/Guardian Signature Date Parent/Guardian Signature Date *Payment of a non-refundable $150.00 registration fee will reserve a space for this student. We base tuition on a nine-month school year, and it is due on the first day of every month starting with September and ending with May. Tuition is late if received after the tenth day of the month and you receive a $20.00 late fee. We will not mail out a bill for tuition unless your payment is overdue. If you need a receipt for your records, the office is happy to provide you one. We provide before and/or aftercare for an additional charge. We place children not picked up within the fifteen-minute pickup window in aftercare services and expect payment upon pickup.