MJP REGISTRATION 2024-25 Returning Families

SCHOOL YEAR 2024-2025 TUITION RATES

Ages	Days	Hours	Fees	Registration Fee (non-refundable)
Toddler class - 12 to 23 Months	Monday - Friday	8:30 am - 12:30 pm	$12,100	$500
Toddler class - 12 to 23 Months	Monday - Friday	8:30 am - 3:30 pm*	$13,750	$500
Class of the 2’s	Monday - Friday	8:30 am - 12:30 pm	$11,100	$500
Class of the 2’s	Monday - Friday	8:30 am - 3:30 pm*	$13,250	$500
Class of the 3’s	Monday - Friday	8:30 am - 3:30 pm*	$13,000	$500
Pre-Kindergarten	Monday - Friday	8:30 am - 3:30 pm*	$13,000	$500
Non-refundable Security Fee - $750
Lunch - $160 a month
Nap Pack - $40
*Friday dismissal 2:30pm

Child 1

Full Name*

First Name Last Name

School Year Program*

Are there any changes to your household info previously submitted?*

NoYes

Please specify *

Does your child have any allergies or special medical considerations?*

NoYes

Please state child's allergies or medical problems*

Are there any conditions or behaviors requiring special attention or medication?*

NoYes

Please explain*

Has your child ever been hospitalized or had a serious illness?*

NoYes

Please explain*

Do you have any developmental or behavioral concerns regarding your child?*

NoYes

Please explain*

Has your child ever been evaluated for developmental delays or has an evaluation been recommended in the past?*

NoYes

Please explain*

Child 2

School Year Program*

Full Name*

First Name Last Name

What would you like your child to be called?*

Hebrew Name *

Date of Birth*

Month Day Year

Place of Birth *

Gender *

Previous School or Day Care Center*

Languages Spoken at Home*

Does your child have any allergies or special medical considerations?*

NoYes

Allergies or medical problems*

Are there any conditions or behaviors requiring special attention or medication?*

NoYes

Please explain*

Has your child ever been hospitalized or had a serious illness?*

NoYes

Please explain*

Do you have any developmental or behavioral concerns regarding your child?*

NoYes

Please explain*

Has your child ever been evaluated for developmental delays or has an evaluation been recommended in the past?*

NoYes

Please explain*

EMERGENCY ALTERNATE CONTACTS

Please list two contacts who will take responsibility for your child/ren, in an emergency situation, when neither parent can be reached.

Contact 1

Full Name*

First Name Last Name

Relationship to children*

Phone Number*

Area Code Phone Number

Contact 2

Full Name*

First Name Last Name

Relationship to children*

Phone Number*

Area Code Phone Number

FAMILY DOCTOR

If parents cannot be reached and emergency medical advice is needed, permission is given to the preschool staff to phone your family doctor.

Please check*

I authorize MJP to contact our family doctor.

Full Name*

First Name Last Name

Address*

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Phone Number*

Area Code Phone Number

In case of a medical emergency requiring immediate emergency care (G-d forbid), and none of the people mentioned above can be contacted, I hereby give Midtown Jewish Preschool permission to treat and transport my child/ren to the nearest hospital necessary by ambulance.

Parents signature*

Name of Insurance policy*

I authorize the following people (ie: grandparents, nanny) to pick up my children from school on a regular basis. (For pickup on a one time occasion, email [email protected] to notify the office). Please send an ID of each person listed below other than the children's parents to [email protected].

Full Name*

First Name Last Name

Relationship to children*

Midtown Jewish Preschool is open Monday through Friday. Our program hours are from 8:30 am to 3:30 pm for full day students and 8:30 am to 12:30 pm for half-day students. Friday dismissal is at 2.30 pm Please be prompt to pick up your child.

Please check*

I agree to and understand the above operation hours.

I hereby give MJP permission to photograph and videotape my child while in school and share these photos & videos in the preschool newsletters, print materials, website and social media.

Please check*

I give permission to photograph and videotape my child for the above purposes.

I give permission for our name and telephone number to be placed on a class list for release to other parents.

Please check*

I agree for our information to be included in the list and shared to other parents.

My child may participate in birthday parties, holiday programs, and any other activities/ programming in which special food is served from outside or prepared in school.

Please check*

I agree to and understand the outside food policy.

Your child will partake in indoor and outdoor physical activity during the course of the day. The children enjoy obstacle courses, balancing equipment, ball play, age appropriate bicycles. Please send your child with appropriate clothing for the weather. Children are to wear closed toe, supportive shoes. No flip flops or open back shoes allowed. When we experience inclement weather, we will partake in indoor gross motor play in our activity room. Children will be encouraged, but never forced, to participate in the physical activities.

Please check*

I understand that there will be physical activity involved, and our child should be in appropriate clothing for the weather.

Parent Handbook

. Parent Handbook

Please check*

I have read the Parent Handbook, and understand and agree to all its contents.

Tuition Payment Terms

Registration is not complete until all documents are submitted and an email acceptance has been received.
By signing this 2024-2025 tuition contract you are financially obligated to the above rates and the MJP terms and conditions. The yearly tuition can be paid in full by July 15th (A 5% discount will be applied to a fully paid tuition by July 15th). Tuition can be paid in 10 installments starting on July 15th through April 15th. All financial information must be submitted by July 15.
All MJP payments will be done through an electronic check (aka ACH payments). For any credit card payment, there will be a 3% CC processing fee.
For children registering after the beginning of the school year; students enrolling between the 1st - 15th of any month will be required to pay the full month's tuition at the start. Students enrolling between the 15th – 1st of the month will pay one-half month's tuition at the start.
A $40 late fee will be charged to any account with a 3-day late payment, whether you receive a statement or not.
A $40 charge will be added to any account for each returned payment for any reason.
There is no tuition adjustments or credit given for holidays, family vacations or illness.
If it becomes necessary to withdraw a student(s) from MJP; the parent or responsible party of the child must notify MJP in writing. MJP will charge an extra month tuition after the child’s withdrawal.

Please check*

I agree to and understand the above payment terms.

E-Check Payment Information (for credit card payment please select below - a 3% CC processing fee will be added to all payments)

Account Name*

Bank Name*

Routing Number*

Account Number*

Account Type*

I authorize MJP to charge my checking/savings account entered above for the non-refundable registration and security fee, and all school fees including yearly tuition and lunch.

Please check*

I authorize MJP to charge these fees.

Upon submitting this form, I authorize MJP to charge my checking/savings account the non-refundable fees: $500 Registration fee and $750 Security fee.

No. of children*

Please check*

I authorize MJP to charge my checking/savings account the non-refundable registration and security fees.

Recurring ACH Payment Authorization

You authorize regularly scheduled charges to your checking/savings account submitted above.You will be charged the lunch and tuition fees, each billing period. A receipt for each payment will be provided to you and the charge will appear on your bank statement as an "ACH Debit". You agree that no prior notification will be provided before the charge. It is your responsibility to provide us with new information shall this needs to be changed for any reason(s).

Please check*

I authorize MJP to charge my checking/savings account for the regulary scheduled charges.

Other payment method*

Credit Card Payment Information

I authorize MJP to charge my credit card entered below for the non-refundable registration and security fee, and all school fees including yearly tuition and lunch.

Please check*

I authorize MJP to charge my credit card these fees.

Recurring Credit Card Payment Authorization

You authorize regularly scheduled charges to your credit card account submitted below. You will be charged the lunch and tuition fees, each billing period. A receipt for each payment will be provided to you and the charge will appear on your bank statement as an "ACH Debit". You agree that no prior notification will be provided before the charge. It is your responsibility to provide us with new information shall this needs to be changed for any reason(s).

Please check*

I authorize MJP to charge my credit card the regularly scheduled charges.

I authorize MJP to charge my credit card entered below the 3% processing fee on all MJP related payments.

Please check*

I authorize MJP to charge my credit card the 3% processing fee.

Upon submitting this form, I authorize MJP to charge my credit card the non-refundable fees: $500 Registration fee and $750 Security fee.

No. of children*

Please check*

I authorize MJP to charge my credit card the non-refundable registration and security fees.

Total amount

$0.00

Payment*

Credit Card

We accept Visa, MasterCard, American Express, Discover
Credit Card Number	Security Code
Name on Card
Expiration Month	Expiration Year

Billing Address

Street Address

City

State / Province

Postal / Zip Code

Country

Mother's signature *

Today’s date*

Month Day Year

Father's signature *

Today’s date*

Month Day Year

MJP REGISTRATION 2024-25 Returning Families

Program Info

SCHOOL YEAR 2024-2025 TUITION RATES

Child Information

Medical information

Add a child

Medical information

Program Information

Medical / Authorization

EMERGENCY CARE AUTHORIZATION

INSURANCE INFORMATION

AUTHORIZATION FOR PICKUP

ADDITIONAL INFORMATION

PAYMENT INFORMATION