I.N.C. Thursdays Registration Form

Child's First name

Child's Last name

Date of Birth

Month

Day

Year

Parents Full Name

Parent's Email

Parent's Phone

Multi-line address

Country/Region

Address

City

Zip / Postal code

Parents Full Name

Parent's Email

Parent's Phone

Does your child have any siblings you plan to register for the program? If so what are their names and ages?

Does your child receive a Step - Up Scholarship?

Does your child have Unique Abilities?

If Yes to above, Please explain.

Does your child have Allergies?

If Yes to above, Please explain.

What curriculum(s) are you using at home with your child?

Can your child READ?

Can your child WRITE?

Do you have any Educational, Emotional, or Behavioral concerns with your child? If so, please explain.

Has your child done a drop off program previously?

Do you plan to enroll your child for the full year ( October - May )?

Is your child comfortable around animals?

I understand that a signed Release of Liability and Waiver are required to participate in classes at Whispering Oaks Farm.

I understand that Whispering Oaks Farm, the property where the I.N.C. Program is located, is a FL Agritourism Facility and therefore subject to FL Stat. 570.88 - 89

I understand that there is continuous video recording inside the classroom for the safety of students and staff.

I understand that both the property and the classroom are access controlled for the safety and security of students and animals. I must communicate with my child(ren)s teachers and/ or I.N.C. administration if I need to pick up my child early.

I understand that Drop-off is from 8:50 - 9:05 am and Pick-up is from 1:50 - 2:10pm. I will be charged $1/ minute if I arrive past 2:10pm.

I understand that $330 is due now. $300 for monthly tuition and $30 to cover the curriculum fee. Both are non-refundable.

I understand that failure to pay the deposit and/or balance may result in my child losing their seat and my deposit.

I understand that tuition is due on the 3rd Tuesday of each month, prior to the month for which the tuition is being paid. The payment is to be processed via a signed credit card authorization form and the schedule outlined therein.

Signature

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Date picker

Thank youy for registering, we will contact you via email soon