Enroll your child Form – Holy Cross Early Learning Center

Child First Name *

Child Last Name

Today's Date *

Child's Date of Birth *

Gender

Child's Age (as of October 1, 2025) *

Street Address *

Apartment, suite, etc *

City *

State/Province *

ZIP / Postal Code *

Country *

Parent Email *

Parent Full Name *

Parents Cell Phone *

Parent 2 Email

Parent 2 Full Name

Parent 2 Cell Phone

Registration Fee per child (based on date of enrollment)

Class Level/Program Selection: Registration fee plus one month's tuition (1/10 of annual tuition) is due with your child's enrollment through this form and is non-refundable. Once registration is processed, you will receive a statement for payment. Payment in full must be made within 5 days to secure your child's spot in his/her selected program at the enrollment fee based on the date of registration. This payment is considered your registration fee and Advanced tuition payment that will be credited to your child's June 2026 tuition. Choose your academic program(s) below.First Step (2s turning 3 throughout the school year) 9am-12:30pmLevel 1 - Pre-K 3 (3s turning 4 throughout the school year) 9am-12:30pmLevel 2 - Pre-K 4 (4s turning 5 throughout the school year) 9am-12:30pm

Planned drop-off time on participating days: *

Planned pick-up time on participating days: *

Select any additional programs below.Early Bird Drop-off 7:30 am - 8:45 am)Lunch Bunch Subscription (to stay and play anyday and be picked up anytime by 3:30 pm)Level 2 - Pre-K 4 Afternoon Academic Enrichment 1pm-3:30pmFull day 9 am - 3:30 pmFull time 7:30 am - 6 pm

Please comment below if you would like to submit any further details about your child's registration.

Your next payment will be due by September 1, 2025 and following months by the 1st of each month ending May 1, 2026. You will receive a monthly invoice via email. After the 5th of each month, please include a $35 late fee with your tuition payment. Unpaid tuition from prior year must be paid before enrollment in a new school year. Tuition may be paid by check, cash, direct pay from bank through online bill pay, or credit card with a 3.5% service charge fee through Signa Pay. A $35.00 fee will be charged on all returned unpaid checks. By signing below, you are agreeing with our terms and conditions as stated in our Parent Handbook. Typing your name (parent name) below serves as your electronic signature of understanding to all our enrollment and registration policies. Thank you.

i would like my child to participate weekly in this Special Wednesday Make and Munch Program. I understand that hourly charges of $20/hour ($40/week) will appear on my monthly statement, but I will never be charged, if my child is not present. I do not want to sign up now for every Special Wednesday Make and Munch, but I understand that I can sign up weekly for random weeks as I would like my child to participate during the school year.would like my child to participate weekly in this Special Wednesday Make and Munch Program. I understand that hourly charges of $20/hour ($40/week) will appear on my monthly statement, but I will never be charged, if my child is not present.I do not want to sign up now for every Special Wednesday Make and Munch, but I understand that I can sign up weekly for random weeks as I would like my child to participate during the school year.OtherPlease choose the most appropriate statement below.

Other: Please describe your preference.

Also at HCELC, we have Pizza Fridays. This 25-26 School Year, we will all be having lunch daily from 12-12:30 pm, so everyone in the school can elect to have pizza on Fridays. Please select the most appropriate choice below.I would like my child to have Pizza every Friday that he/she is present at school. I understand that my account will be charged $5 weekly for Pizza when my child is in attendance.I do not want to sign up for every Friday Pizza now, but I understand I will be able to sign up for it weekly as we go through the school year using the weekly link that will be sent out. I also understand that when my child participates, I will be charged $5 for those weeks.

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