A downloadable version of this form is available here.
Aggieland Country School
(979)696-1674 aggielandcountry@yahoo.com
Child’s name
Birthdate Date of admission
Address
e-mail
Father’s name
Phone Numbers
Mother’s name
Phone numbers
Persons to call in case of emergency if parents cannot be reached:
Name and phone
Address
Name and phone
Address
Persons authorized to pick up child from school:
Name and phone
Address
Name and phone
Address
I would like to register my child in the following class:
Primary class Morning M ___ T ___ W ___ Th ___ F ___
Afternoon M ___ T ___ W ___ Th ___ F ___
Elementary class Full day
Extended Hours:7:30 a.m. to 8:30 a.m. M__T__W __Th __F __
Lunch:half day students M __T __W __Th__ F__
3:30 p.m. to 5:00 p.m. M__T__W__Th __F __
I give permission for my child to attend any field trips that the Aggieland Country School Directress deems to be safe and of educational or recreational value, provided the nature of the trip is explained to me prior to the date. I also give permission for my child to be transported and supervised by school staff.
Parent’s Signature Date
If emergency medical treatment is necessary and I cannot be reached, I hereby give permission to Aggieland Country School to secure proper medical treatment. This may include, but not be limited to, hospitalization, surgery, ordering of injection, and anaesthesia for the child named above.
Parent’s Signature Date
Physician
Hospital
Address
Phone
Medical problems that might affect treatment
Is your child allergic to any medications? If, yes, which ones?
I give permission for Aggieland Country School to give Tylenol to my child when they feel that it is necessary
Parent’s Signature Date
I give permission for my child to participate in water activities on Aggieland water days.
Parent’s Signature Date
Aggieland Country School
1500 Quail Run Road College Station, Texas 77845 (979) 696-1674
aggielandcountry@yahoo.com
Tuition Schedule for the 2011-2012 School Year
Application Fee for new students only $ 250
Registration Fee $ 100
Tuition for Pre-school and Kindergarten Classes:
5 half days per week $ 410 monthly
4 half days per week $ 370 monthly
3 half days per week $ 325 monthly
5 full days per week $ 615 monthly
Tuition for Elementary Class $ 615 monthly
Class times
Morning class 8:45 a.m. - 11:45 a.m.
Afternoon class 12:15 p.m. - 3:15 p.m.
Full day 8:45 a.m. - 3:15 p.m.
Extended time
Early drop off 7:30 – 8:30 a.m.
$25/month for each day
or $ 100 per month
Lunch for half day students
$12/month for each day
Late pick up 3:30 – 5:00 p.m.
$40/month for each day
or $150 per month
Tuesdays 2:30 – 5:00 p.m.
$50/month for each day
Late pick-up After 5:00 p.m.
$2 per minute
The application and registration fees are required to reserve a place in the school. These fees are not refundable. A last month’s tuition is due by May 1, 2012. The pro-rated tuition for August is due before classes begin. Refunds of tuition payments require 30 days written notice by parents prior to a child’s withdrawal from school. The tuition is pro-rated. Tuition payments are not refundable for withdrawals effective after March 15, 2013.
I understand and accept the above policies and fee schedules.
Parent signature Date ________________