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TLC Home
About Us
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Application Form
Student Information
*
Indicates required field
Student's Name
*
First
Last
Date of Birth
*
Sex
*
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Any Allergies?
*
Yes
No
If so, what?
*
Anything Else we need to know about your child?
*
Parent's Information
Mother's Name
*
First
Last
Address (If different from student)
*
Line 1
Line 2
City
State
Zip Code
Country
Home Phone Number
*
Cell Phone Number
*
Occupation
*
Place of Work
*
Work Phone Number
*
Email
*
Father's Name
*
First
Last
Address (If different from student)
*
Line 1
Line 2
City
State
Zip Code
Country
Home Phone Number
*
Cell Phone Number
*
Occupation
*
Place of Work
*
Work Phone Number
*
Email
*
Siblings:
Name
*
First
Last
Sex
*
Age
*
Name
*
First
Last
Sex
*
Age
*
Name
*
First
Last
Sex
*
Age
*
Does your family regularly attend church?
*
Yes
No
If so, where?
*
Emergency Contact (other than parent)
*
First
Last
Phone Number
*
Babysitter's Name (Daytime sitter)
*
First
Last
Phone Number
*
Classes Offered
3 Year Olds -$100 per month
*
2 day 3 year olds meeting Mon./Wed. 9:30-11:30am
2 day 3 year olds Tues/Thurs. 9:30-11:30 am call for availabilty
4 Years Olds
*
4 day 4 year olds meeting Mon.-Thurs. 9:30am-12:00pm *$160 per month
2 day 4 year olds meet Tues. & Thurs. 9:30 am-12:00 pm Call for availability
*Tuition costs are subject to change
I understand that I will pay the monthly tuition cost for the class I have chosen above. There is a $75 non-refundable registration fee if paid by August 9th. Starting August 10th the non-refundable registration fee is $85. The registration fee includes the cost of a TLC T-shirt (to be given out the first week of school.) I will give a 30 day notice if I have to withdraw my child from TLC at any time and I am responsible for tuition during that period of time.
*
I Understand
We cannot guarantee a place for your child until the
registration form
and registration fee have been received.
Signature
*
T-shirt size (choose one)
*
2/4
6/8
10/12
I have also enrolled my child in the Universal Pre-K program in the public school system.
*
Yes
No
Submit
Home
I'm New
Plan A Visit
Contact
Staff
TLC
TLC Application Page
TLC Contact Page
Get Prayer
ABOUT
Ministries
>
VBS
Kid's Ministry
Student Ministries
Men's Ministry
Women's Ministry
Caring Hearts
Sunday School
Missions
Comfort Quilters
Give