The document is a registration form for Our Saviour Lutheran Preschool's 2015-2016 academic year. It includes fields to provide contact information for parents and the child as well as select a session and indicate if early hour care is needed. The $75 registration fee reserves a spot for the year and is non-refundable, with more information to be provided over the summer.

1. (OFFICE USE ONLY)
4K $75.00 Registration Fee Paid _________________ Cash ______ Check # _______
Please fill in the following information and return this form along with the registration fee to:
Our Saviour Lutheran Preschool
120 South Henry Street
Green Bay, WI 54302
The $75.00 registration fee holds your child’s spot for the 2015-2016 academic year. The registration
fee is non-refundable. You will be sent more information regarding the class you registered for
this summer. If you have any questions before the information packets are mailed out, you may
reach the school at 468-3596 or email: Christina@oslc-gb.org
REGISTRATION FORM
PLEASE PRINT:
Child’s Name-The way you want them to recognize it and write it- Samantha, Sammi, Sam
Father’s Name Mother’s Name
Address (Mother) Zip
____________________________________________________________________________Address
(Father) Zip
_________________________________ ________________________________
Father’s Email Address Mother’s Email Address
__________________________________ ________________________________
Father’s Home Number(s) Mother’s Home Number(s)
__________________________________ ________________________________
Father’s Cell Number(s) Mother’s Cell Phone Number(s)
__________________________________ Male _____ Female _____
Child’s Birth Date
SESSION: 4K (M W F) 8:30-11:30 ________ Cost: 1080.00
SESSION: 4K (M-F AM ONLY) 8:30-11:30__________ Cost: 1822.00
SESSION: 4K (M-F Full Day) 8:30-3:00 _________ Cost: 3000.00
Early Hour Care: 4K 7:30-8:30 am _______ Cost: 3.75 hour