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 Registration packetSpumc Weekday school
 Dear Parents,Please take the time to fill out the 2009-2010 registration packet and submit it with your $50.00 registration fee to hold your child 
’ 
s place in the Weekday School. Open spaces are filled on a first 
come, first served basis. In order to assure your child’s place in
the Weekday School, it is recommended that you submit theregistration forms and fees as soon as possible.SPUMC Weekday School will follow the new NC Public Schoolentry date of August 31
st 
. Your child 
’ 
s age must correlate with theappropriate class. Our 4 & 5 year old Stepping Stones class isdesigned for those children who would have met the previous cut-off date for kindergarten.We look forward to a wonderful year!
The Weekday School Board of Directors
Weekday School Staff 
South Point United Methodist Church
 
 1I am registering my child for the:PMO Program ______________________ $55/ month Wednesdays2-year-old class _____________________ $100/ month Mondays & Thursdays3-year-old class _____________________ $110/ month Tuesdays & Thursdays4-year-old class _____________________ $120/ month Mon, Wed & Fridays4/5 year-old Stepping Stones class ______ $150/ month Monday through FridayChild
’s Name ____________________________________________________________ 
 (First) (Middle) (Last)Name your child prefers to be called __________________________________________
Child’s Birth date _______________________________ Child’s Age _____________ 
__
Parent or Guardian’s Name _________________________________________________ 
 Address ________________________________________________________________Home Phone _________________________ Work/ Cell Phone ____________________E-Mail Address __________________________________________________________
Parent or Guardian’s Name _________________________________________________ 
 Address ________________________________________________________________Home Phone _________________________ Work/ Cell Phone ____________________E-Mail Address __________________________________________________________Siblings that live in the home (names and ages) _________________________________Emergency Contact _______________________________________________________Relationship to the child ___________________________________________________Home Phone _________________________ Work/ Cell Phone ____________________Please list any medical conditions that we should be aware of (allergies, asthma, diabetes,etc) ____________________________________________________________________Office Use OnlyRegistration Fee Paid: _______________________(Amt) Date: __________________
 
 2
HELP US GET TO KNOW YOUR CHILD
Full name__________________ Birthdate___________ 
What are some of your child’s favorite activities at home? _____ 
 Has your child ever been in a school setting before? __________ Does your child get along well with other children? ___________ 
What are your child’s favorite snacks? ____________________ 
 Does your child learn by watching, doing or both? ____________ 
What is your child’s fav
orite book? ______________________ 
What is your child’s favorite song or rhyme? _______________ 
 Is there anything else you would like to share about your child?

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