GREEN'S FARMS NURSERY SCHOOL, LLC
71 Hillandale Road Westport, CT 06880
(203) 227-9363 E-Mail: director@gfns.org
Application for Admission 2008-09
Child's Name ________________________________________________ Known as: _________________
Last First
Birthdate __________________________ Language spoken at home ______________________ Gender______
Home Address:
Street _______________________________________ Town _____________________ ZIP_____________
Home Phone ____________________ Cell Phones: (Parent #1)______________(Parent # 2)________________
Parent #1 ______________________________________ Occupation ________________________________
Business Address ______________________________________ Telephone ___________________________
Parent #2 _____________________________________ Occupation _________________________________
Business Address ______________________________________ Telephone ___________________________
E-Mail ______________________________________
Other Emergency Contact _______________________________ Telephone ___________________________
Child's previous school, if any ____________________ Green's Farms Church Member? Yes______ No______
Sibling in program? Yes _____ No_____ All Siblings/Ages _________________________________________
Placement and Tuition Policies
00When a child is placed in any of the classes selected by the child's parent/guardian, a contract is sent out.
00Placement is confirmed when the school receives both the signed contract and the required tuition payment
of 33% of the annual tuition shown in the CLASS SELECTION section of this form. Unless prior
arrangements have been made to accommodate special circumstances, this step must be completed
by the date noted on the contract. Otherwise, the placement will be offered to another child.
00Balance of tuition is due in 2 installments: June 15 (33%); and October 15 (33% less the $200 paid with
the application fee). The school reserves the right to add interest or appropriate fees for late payments of
tuition.
00If the school cancels a class due to under-enrollment or any other reason, all tuition paid will be refunded
in full.
00Applications will be processed on a first-come-first-served basis according to the postmark date on
the envelope. Placement will begin on October 29, 2007 for current GFNS children and siblings of
former GFNS children. All such applications bearing postmarks on or before October 29 will be
processed at the same time. On Monday, November 5, 2007 placement begins for all other
applications.
No hand-delivered applications will be processed until after 1/3/08
Indicate your class choices in order of preference, using Class ID. Four year olds may also enroll in the
Fours Plus and/or Extended Day (ED) classes at this time. Your child will be placed in the highest
possible of your indicated choices. Please do not mark any classes that you do not want or cannot
accept.
Class Selection
Additional Selections
________ 1st choice
________ 4's Plus
________ 2nd choice
________
4's Friends
________ 3rd choice
The following fee schedule reflects 2008-09 tuition rates.
Class ID Class Days and Hours
Tuition $/year
Four Year Old Classes - Must be four by December 31, 2008
4A
4B 5 Day
4B 3 Day
4C
4's Plus
4's Friends
(M - F 8:45 - 11:45 a.m.)
(M - F 8:45 - 11:45 a.m.)
(M,W,F 8:45 - 11:45 a.m.)
(M,W,F 12:15 - 3:15 p.m.)
(T,Th 11:45 - 1:40 p.m.)
(M,W,F 11:45 - 1:40 p.m.)
$6,360
$6,360
$3,815
$3,815
$1,625
$2,435
Three Year Old Classes - Must be three by December 31, 2008
3A
(M,W,F 8:45 - 11:45 a.m.)
$3,815
3B
(M,W,F 12:15 - 3:00 p.m.)
$3,500
3C
(T,Th 8:45 - 11:45 a.m.)
$2,540
Two Year Old Classes - Must be two by September 1, 2008
2A
(M,W,F 8:45 - 10:45 a.m.)
$5,000
2B
(M,W,F 11:00 - 1:00 p.m.)
$5,000
2C
(T,Th 8:45 - 10:45 a.m.)
$3,340
2D
(T,Th 11:00 - 1:00 p.m.)
$3,340
2E
(T, Th 1:45 - 3:15 p.m.)
$2,500
A registration fee of $250 must accompany this application. $200 of this fee will be applied to the final
payment of the annual tuition, when paid, or refunded if the child remains on the waitlist and is not placed
in a requested class by the opening day of school. Waitlists are maintained until September, and refunds
for non-placement will be made at that time to parents who have not moved out of the area. Refund
requests will not be honored before the beginning of school. Otherwise, this $250 fee is non-refundable.
Parent's Signature ________________________________________ Date ________________________
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For Office Use only:
Date Received ____________ Check #/amount _________________________ Placement______________
Revised 10/1/07
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