Just Kids Registration Form 2012-13

Just Kids Rates

Annual Registration Fee:$50

Option

Days

Member Rate

Community Rate

A

Monday – Friday after school
& all full days

$335/month

$375/month

B

Mon./Wed./Fri. after school
& all full days

$280/month

$325/month

C

Tues./Thur.
after school
& all full days

$235/month

$280/month

D

Full days only

$33/day

$42/day

E

Just Fun Fridays enrichments
after school

$105/month

$125/month

These rates and fees are effective as of August 15, 2012.

Fees will be charged based on enrollment schedule, rather than actual attendance. Annual tuition is broken into monthly payments that are due by the 15th of each month. If payment is not received by the 15th of the month, a late fee of 5% will be charged. A 3% fee will be added to credit card payments.


Please fill out one registration form per child:

 

Child's Name
Date of Birth (MM/DD/YYYY)
Age (as of 08/2012)
Grade (as of 08/2012)
Desired Enrollment Option
 A: Monday - Friday after school & full days
 B: Monday/Wednesday/Friday after school & full days
 C: Tuesday/Thursday after school & full days
 D: Full Days Only
 E: Just Fun Fridays
Name of School
Will you be using Childcare Subsidy Assistance Vouchers?
 Yes
 No
Name(s) of any sibling(s) enrolled in JCC programs
Are you an Asheville JCC member as of May 1, 2012 through April 30, 2013? (if yes, member rates apply)
 Yes
 No
Is anyone in your household Jewish? (optional, for statistical purposes only)
 Yes
 No
Is your household interfaith, i.e., Jewish and non-Jewish parents? (optional, for statistical purposes only)
 Yes
 No

Parent/Guardian #1
Address
City
State
Zip Code
Daytime Phone Number
Cell Phone Number
Email Address

Parent/Guardian #2
Address
City
State
Zip Code
Daytime Phone Number
Cell Phone Number
Email Address

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