Fall‘10 Preschool Registration Form
(August 25 - December 17)

Morning Preschool (8:40 am-12:30 pm)

_____ Five days (M—F)
_____ Four Days (Please circle: M T W TH F )
_____ Three days (Please circle: M T W TH F )
_____ Two days (Please circle: M T W TH F )

_____ Early Morning Drop Off Option (8am-8:40) See rates below.

For Extended Day Please fill out an Extended Day registration Form (see above).

****Please check here ___ if your information has changed****

Student Name: ________________________________________

Birthday: __________________ Age: ________ Sex: _________

Allergies _____________________________________________

____________________________________________________

Home address:

Street: _______________________________________________

City, State, Zip: ________________________________________

Home Phone: (_____)__________________

Parent Name: ____________________ Cell: (_____)__________

Work Ph: (_____)__________ Email:_______________________

Parent Name: ____________________ Cell: (_____)__________

Work Ph: (_____)__________ Email: ______________________

Emergency Contact Name & Phone:

______________________________________________________

Persons Authorized to Pick Up Your Child From School:

_______________________________________________________

Where did you learn about Little Panda? ____________________

Preschool Payments & Family Discounts:
To secure placement for your child please submit a check with this registration form that includes the registration fee $30 per student per semester and $100 new enrollment fee for each new family. 

For families with two or more children enrolled at Little Panda / Durham Chinese School, the child with the highest tuition rate will pay the regular rate of tuition and siblings will receive a 10% discount.

Families are obligated for the payments for the whole semester. The only exception is for families who move more than 50 miles away from DCS. Those families need to turn in a written notice 30 days in advance to receive a prorated tuition refund or waiver. Please make checks payable to Durham Chinese School. Tuition for the Fall ‘10 semester is calculated on an average of $33 per day. The payment schedule for the fall semester is as follows:

Payment

2 Days

3 Days

4 Days

5 Days

1st due 8/1

 $339

 $508

 $678

 $847

2nd due 10/1

 $339

 $508

 $677

 $847

3rd due 11/15

 $339

 $508

 $677

 $847

Total Payment

 $1,016

 $1,524

 $2,032

 $2,541


EARLY MORNING DROP OFF OPTION PAYMENTS:
COST: $5/ per child per day

Tuition Payment for Fall 2010

*Rates are given based on the number of days per week throughout the semester.

Payment

1 Day

2 Days

3 Days

4 Days

5 Days

 All due 8/1

 $77

 $154

 $231

 $308

 $385

 

I have read and agreed to abide this registration form.

Signature: ____________________________ Date: __________

Notice of Nondiscrimination Policy as to Students
DCS admits students of any race, color, national and ethnic origin to all the rights, privileges, and activities generally accorded or made available to students at the school. It does not discriminate on the basis of any race, color, national and ethnic origin in administration of its educational policies, scholarship and loan programs, and athletic and other school-administered programs.

For more information contact: Principal Xiaoping 919-308-3511 or xpj@earthlink.net