Father Justin's Learning Center
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REGISTRATION


Fr. Justin's Learning Center    (201)944-1376
223 14th Street      Fax  (201)944-0993
Palisades Park, NJ 07650

Child's Name________________________________________________

Address_____________________________________________________

Home Phone_________________________________________________

Date of Birth________________Sex______________New Student_____________
Returning Student__________


Parents  Father  Mother

Name________________________________________________________________

Employer_____________________________________________________________

Address_______________________________________________________________

Work phone_________________Ext._________________Fax.___________________

Child's Doctor___________________________________________________________
Name    Phone #

Address_________________________________________________________________

Name of person authorized to pick up child in case of emergency. (when parent cannot be reached)
Name 1._______________________2.__________________________

Relationship:_________________  __________________________

Phone # ______________________  __________________________

 

 

 

Part II- Registration



MEDICAL EMERGENCY - In the event that a medical emergency occurs I authorize the Director of Fr. Justin's Learning Center to seek emergency medical care for my child as deemed necessary.

TUITION - Payments are due on or before the first day of each month. A late fee of $10.00 is charged if payment is not received within the grace period ( Date posted each month ). There is a $20.00 fee for returned checks.  Tuition is due regardless of illness, vacation and other absences.

REFUNDS - Refunds are not made for any reason.

WITHDRAWAL - One month's written notice is required if a parent wishes to withdraw a child from school. If the written withdrawal notice is received Before the first day of month, then the June tuition will be applied to the upcoming month.  HOWEVER if notice is not received before the first day of the month, then the June is forfeited and kept by the school.  Fees cannot be adjusted due to cancellation of classes for holidays, vacations, snow days, emergency closing, etc.

CUSTODIAL INFORMATION- If the non-custodial parent is not included among those persons authorized by the custodial parent to pick up the child, please attach a copy of the appropriate documents (Court Order).

REGISTRATION FEE - $75.00 - THIS FEE IS NOT REFUNDABLE.

TUITION SCHEDULE FOR -1999 - 2000

Circle Money Amount, Choice of Days and sessino  Mon. Tues.  Wed.  Thrurs.  Fri.
A.M. P.M. Full

HALF DAY PROGRAM  FULL DAY PROGRAM
2 DAYS - $155.00    2 DAYS - $270.00
3 DAYS - $185.00    3 DAYS - $290.00
4 DAYS - $205.00    4 DAYS - $315.00
5 DAYS - $225.00    5 DAYS - $350.00

I agree to pay the Annual Tuition of _____________for my child.

***************************************
I have read the above regulation and agree to abide by them.

______________________________________________________
Parent Signature    Date

Child'S Name____________________________________________

 

Father Justin's Learning Center
223 14th Street
Palisades Park, NJ 07650
Phone:(201) 944-1376
Fax:(201) 944-0993
Email: Father Justin's Learning Center