Registration Checklist:
DJP Registration & Tuition Agreement STUDENT INFORMATION:Name* First Last Jewish Name:*Sex* Male Female Age now*How old will child be on 9/1/26?*Date of Birth*For new students to DJP: Is there any special situation or characteristic concerning your child that is important for the school to be aware of?*Ex; Intellectual / Emotional/ Physical/ Developmental/ and or; Speech Therapy | Occupational Therapy| Phycical Therapy | MNRI | Behavioral Therapy | Mental Health Therapy | FDLRS | Child Find |For current students at DJP: Please list any services that your child is currently receiving at DJP or outside DJP or any services that have been recommended in the past 12 months by DJP or others.*Ex; Intellectual / Emotional/ Physical/ Developmental/ and or; Speech Therapy | Occupational Therapy| Phycical Therapy | MNRI | Behavioral Therapy | Mental Health Therapy | FDLRS | Child Find |FAMILY INFORMATION:Mother's InformationMother's Name* First Last Jewish?* Yes No If Yes, by:* Birth Choice Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Home Phone*Cell Phone*Email* Employer*Position*Father's InformationFather's Name First Last Jewish? Yes No If Yes, by: Birth Choice Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Home PhoneCell PhoneEmail EmployerPositionFAMILY/ HOME INFORMATIONChild lives with* Mother Father Both Other Parents are* Married Separated Divorced Single Other Who has legal custody?*Please send all preschool correspondence to:* Mother Father Both Other as indicated Have there been any conversions or adoptions in the family?* Yes No Who?*please submit conversion formsMax. file size: 50 MB. What languages are spoken at home?*Please list all siblings and ages*PREVIOUS SCHOOL INFORMATIONPlease List Previous Programs or School Attended*In order to better serve your child, it may be helpful for us to contact the school he/she previously attended. Please check the box below giving permission for information to be shared* I give permission for information to be shared CLASS, SCHEDULE, TUITION SELECTION AND PAYMENT TERMSPlease Choose the Class You Are Registering For* 18 months Explorers 2’s (2 by Sept 1/26) Investigators 1 2.5’s (2.5 by Jan 1/27) Investigators 2 3’s (3 by Sept 1/26) Innovators 4’s (4 by Sept 1/26) Researchers Select Schedule (Researchers full day ONLY)* Full Day: Mon-Thur 9am – 3:00pm – Fri ends 2:30pm Half Day: Mon- Fri 9am – 12:30pm Payment Plan: Indicate your choice of payment for yearly tuition. A payment plan must be confirmed with the office. First tuition payment is due on April 15, 2026. Tuition must be paid in full by March 15, 2027. $500 Registration fee is due upon registration and is non refundable under all circumstances and is not applied to tuition.* Full Day: 10 payments: $16,973 Divided into 10 equal payments of $1,697.30. First payment due on April 15th. 9 additonal payments charged July 15, 2026-March 15, 2027 Full Day: Payment in full of $16,633.54. Deposit of $1,697.30 charged on April 15 2026. Remaining Balance of $14,936.24 (2% discount) Charged on July 15th 2026 Half Day: 10 payments: $15,623. Divided into 10 equal payments of $1,562.31. First payment due on April 15th 2026. 9 additional payments charged July 15, 2026- March 15, 2027. Half Day:Payment in full of $15,311.08 Deposit of $1,562.3 charged on April 15 2026. Remaining balance of $13,373.91 Charged in July 15 2026 (2% discount) Change from Half-day to Full-day Program: If a child is enrolled in a half-day program and later transitions to a full-day program during the school year (subject to availability) Parent(s)/ Guardian(s) agree to pay the full annual tuition difference between half-day and full-day programs. The tuition difference will not be prorated based on the date of the change. Lunch: $1500 for the year includes hot lunch & afternoon snack. Morning snack is provided to all and included in your tuition.* Yes, I/we would like to purchase the lunch option at $1500 year. Payment in Full: $1450; Deposit of $150 charged on April 15, Remainin balance of $1300 charged on July 15 2026 10 Payments: $1500; First payment of $150 Charged on April 15 remaining 9 payments of $150 charged monthly from July -April No, I/we do not want lunch. I/we will provide my child with lunch and afternoon snack Participation in the School’s lunch program is optional. Lunch charges will begin on April 15, which coincides with the first tuition payment date. The annual lunch fee may be paid in one of the following ways: (a) Installment Plan: Ten (10) equal installments, with the first installment due April 15 and the remaining installments due monthly from July through March; or (b) Paid in Full: A $150 deposit due April 15, with the remaining balance due no later than July 15, prior to the start of the school year. If the annual lunch fee is paid in full by July 15, the total amount due is $1,450. If paid under the installment plan, the total annual lunch fee is $1,500. Families may cancel participation in the lunch program at any time by providing notice to the School. Upon cancellation, all future lunch charges will cease as of the effective date of cancellation. No refunds, reimbursements, or prorated amounts will be issued for any lunch charges already assessed or paid, whether paid in full or in installments, regardless of the timing of cancellation or non-use of the lunch program. Cancellation applies prospectively only and does not create any obligation on the part of the School to refund prior payments.Payment Method* Checks Credit Card (3% credit card processing fee will be added to your payments) ACH – Direct deposit recurring payment Consent* I agree to all the tuition and payment policies:1. I/we agree to pay according to the selection indicated above 2. If choosing a monthly payment option, I/we understand that we will make 10 payments or the amount necessary to complete the full yearly tuition. The school will be provided with a viable credit card to be kept on file for payments. 3. If sufficient funds are not available or if the account has been closed, my/our account will be charged $35 for each transaction that could not be processed. 4. I/we agree that my/our child(ren) will not be allowed to attend classes unless tuition is kept current. 5. I /we understand that my/our child(ren) will be unable to attend DJP unless and until the State of Florida School Entry Health Exam Form and Current Immunization Records is received from a physician. 6. I/we understand that my/our child(ren) are enrolled for the entire year. The school cannot issue refunds or credits for illness, holidays or family vacations. 7. In the event that the school is closed due to or resulting from a weather emergency or other unforeseen circumstance, there will be no make-up days, refunds or credits for days the school is not in session. 8. In the event of withdrawal at any time – whether before the start of the school year or after attendance has begun, I /we understand that I am responsible for tuition prorated through the end of the month of the child’s last date of attendance, plus an additional amount equal to thirty percent (30%) of the annual tuition, not to exceed the total tuition for the school year. Consent* I understand my child’s spot is not reserved until the following is completed.1. Submitting this completed DJP Registration & Tuition Agreement. 2. Paying the required non refundable $500 Registration fee. 3. Submitting the Enrollment Agreement. 4. Submitting a viable credit card or payment option to be kept on file with the office. Credit Card information to be kept on file* American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Month010203040506070809101112 Year20262027202820292030203120322033203420352036203720382039204020412042204320442045 Expiration Date Security Code Cardholder Name Signature*By Signing above, I understand that I am entering into a binding legal agreement with Downtown Jewish Preschool (“DJP”) for the applicable school year. Enrollment is for the full school year and is not contingent upon attendance. Print Name*Upload a current portrait photo of your childMax. file size: 50 MB. Please upload: 1.Child’s Birth Certificate. 2. Parents’ Government Issued Photo ID. 3.State of Florida School Entry Health Exam 4. Current Immunization Records Drop files here or Select files Max. file size: 50 MB. Pre Care or After CarePre care and after care are offered if there are sufficient families interested. We do offer several after school clubs that you may prefer so please be sure to look at those options before checking your need for pre care and after care. Are you interested in Pre-Care or After-Care? Pre- Care Mon- Fri 8:30am-9:00am $15 per child. After-Care: Mon- Thur until 5. (No after care Friday.) Pickup between 3:06pm and 4:05 is $15 per child; Pickup between 4:05pm and 5:00pm is $30 per child. Pre care 8:30 – 9:00am After Care 3:05 – 5:00pm pre care and after care is automatically charged to your account on a weekly basis
