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APPLICATION FOR ADMISSION
You may download a paper Application for Admission by clicking here.  Please return this application with a non-refundable enrollment fee of $75.00. (Early Bird Enrollment, $60.00 (Feb 1-Mar 7); Late Enrollment, $80.00 (After May 31).  Check are payable to Culpeper United Methodist Church and attach it to this form.
Or, you may register directly online by filling out the following form.  When you click submit, you will be directed to our online bill pay where you can remit payment for the registration fee. 
Culpeper UMC Preschool does not discriminate against any student on the basis of race, creed, or national origin.

Child Enrollment/ Information Record

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Please check desired program (student must be age of desired class by September 30, of the current year, and potty trained.)

Child's Home Address/ Contact Information

Parent/Guardian Information

Medical Information

Emergency Contacts (local contacts only, please) If parents/guardians can not be reached

Name and Phone Numbers of persons authorized to pick up your child

(may be the same names as above)

Important Information for Parents

Enrollment Policy Children who are enrolled but not toilet trained at the start of school will not be accepted. ENROLLMENT FEES WILL NOT BE REFUNDED IF YOUR CHILD IS NOT TOILET TRAINED. At parents’ request, we can place the child on a waiting list at no cost. The only time a refund of the enrollment fee can be given is if the class is full. Your check will be returned to you.

Tuition Policy The school year’s tuition is based on a yearly rate and is collected in