Multiple children? Please use multiple forms. And, to make both your efforts and ours a little simpler, there is NO NEED to DUPLICATE (just please note) identical field responses eg. addresses. Thank you!

CHILD'S INFO

Child's Name: __________________________________

Birth Date _____/_____/_____ Age ________

Address ________________________________________

City ________________ State ____ Zip __________

Phone number (Home) ____________________________

FAMILY INFO

Parent/Guardian Name ___________________________

Cell Phone _____________________________________

Address ________________________________________

City ________________ State ____ Zip __________

Employer________________________________________

Work Phone______________________________________

E-mail Address: ________________________________

Parent/Guardian Name ___________________________

Cell Phone _____________________________________

Address ________________________________________

City ________________ State ____ Zip __________

Employer________________________________________

Work Phone _____________________________________

E-mail Address: ________________________________

PREFERENCES

SCHEDULE(Select One)

_____Full days

_____5 times x week
_____3 times x week
_____2 times X week

____ Structured time (9am to 3:30pm)
_____Before Care(7am to 9am)
_____After Care(3:30 pm to 6:00 pm)
_____Before and after care

PROGRAM (Select One):
_____Toddler
_____Preschool
_____Kindergarten
­_____Before/After care
_____Summer Camp

LOCATION (Select One):
_____Plymouth ­
_____Downtown Minneapolis
_____Burnsville

Please include $100.00 non-refundable registration fee (Due every September)
Or $25.00 Registration fee for summer camp (Due in June)

Deposit of 200.00 is required for Year around program (Due before program start)

Tuition is due upon receipt of the monthly statement and no later than the 5th of the month. Accounts are subject to a $25.00 late fee billed at close of business day on the 5th and each week thereafter until paid. Your tuition will be billed based on the fee outlined on this enrollment contract. Your child may attend on an alternative day if classroom occupancy allows. Your account will reflect the adicional day charges.

I understant that Rayito de Sol Spanish Immersion will select students on the basis of availability of posotions and in the order in wich applications/deposits are received without discrimination as to race, creed, or religion. Priority will be given to siblings of children alredy enrolled.

Date:_________________

Signature of parent: ________________________

Mail it to: Rayito de Sol Spanish Academy
1601 Laurel Ave
Minneapolis MN 55403

or e-mail it to: luchita@rayitodesol.org

Or Fax to : (612)339-2829

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Credit Card Information:
Visa:_____
MasterCard:_____
American Express:_____

Name on the card:________________________

Card Number: ____________________________

Expiration date: __________

csv:_______ (three numbers from the back your card)

Zip code: ___________

For Office Use Only

Registration fee Rec'd __________ Approved __________
Deposit fee Rec'd __________ Approved __________
Registration forms Rec'd __________ Approved __________

Notes:

Minnesota's premier Spanish Immersion Preschool & Language Learning for Children