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Poise-N-Ivy School: 478-8100 / 474-4704 (Please Print) TERM:20 - 20

This document is an application form for admission to Poise-N-Ivy School for various classes including Kindergarten and Pre-K. It requires personal information about the child and parents, as well as class selection and associated fees. A non-refundable registration fee is also required with the application submission.

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krisross
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62 views1 page

Poise-N-Ivy School: 478-8100 / 474-4704 (Please Print) TERM:20 - 20

This document is an application form for admission to Poise-N-Ivy School for various classes including Kindergarten and Pre-K. It requires personal information about the child and parents, as well as class selection and associated fees. A non-refundable registration fee is also required with the application submission.

Uploaded by

krisross
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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POISE-N-IVY SCHOOL

APPLICATION FOR ADMISSION


478-8100 / 474-4704 (Please Print) TERM:20__-20__

Child’s whole Name: Date of Birth: Sex: M F


Address: Zip: Phone: Age:
Email:
Father’s Name: Work Phone: Cell:
Mother’s Name: Work Phone: Cell:
Emergency Contact (Other than you)
Name: Phone: Cell:
CHECK CLASS APPLIED FOR: REGULAR DAY OR EXTENDED DAY (8-2:30)
KINDERGARTEN ___ 5 DAY (8-12:00) $250/MO ($2250/YR) ___ $400/MO ($3600/YR)
PRE-K 4 ___ 5 DAY (8-11:30) $220/MO ($1980/YR) ___ $370/MO ($3330/YR)
PRE-K 3 (MWF) ___ 3 DAY (8-11:30) $180/MO ($1620/YR) ___ $300/MO ($2700/YR)
PRE-K 3 (Tu/Th) ___ 2 DAY (8-11:30) $150/MO ($1350/YR) ___ $270/MO ($2430/YR)

A registration fee of $100/student is to accompany this application or $150.00/family.


(Returning student fee is $75/student or $125/family.)
***This fee is non-refundable and does not apply to tuition costs.
RETURN TO:
POISE-IVY SCHOOL
5640 Autumn Street Signature of Parent or Guardian
Lake Charles, LA 70605

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