Scribd
Upload
37 views1 page

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

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
37 views1 page

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

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
You are on page 1/ 1

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

You might also like