SJA Annual Enrollment Form 2016-2017

Fill this section out for all students entering K-6 Grades for the 2016-2017 Academic Year (scroll down for Pre-K section)

Fill this section out for students entering Pre-K or Kid's Kingdom Sessions for the 2016-2017 Academic Year

Session Options

1. Kid's Kingdom, T/TH, 8:25am-11:25am
Must be 3 by 8/31/2016
$1050.00

2. Kid's Kingdom, MWF, 8:25am-11:25am
Must be 3 by 8/1/2016
$1400.00

3. Kid's Kingdom, MWF, 12:15pm-3:10pm
Must be 4 by 8/1/2016 and be eligible for K Fall 2017-2018
$1400.00

4. Pre-K, Five Half Days, 8:25am-11:25am
Must be 4 by 8/1/2016 and be eligible for K Fall 2017-2018
$1750.00

5. Pre-K, Five Half Days, 12:15pm-3:10pm
Must be 4 by 8/1/2016 and be eligible for K Fall 2017-2018
$1750.00

Permissions

Child Information

Parent/Guardian Information

Emergency/Medical Contact Information: Please list two local emergency contacts.

Usual After School Plans:

Annual Enrollment Fees:
$50 if registered by 3/4/2016
$75 after 3/4/2016

Saint John's Academy reserves the right to accept or deny any application for enrollment.