Enroll Your Children at Our Learning Center APPLICATION 2023-2024 Current Co-Op Family Past Co-Op Family New Family Child's Name Sex Date of Birth MM slash DD slash YYYY PhoneAddress Street Address City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Parent's Names E-Mail How did you hear about the program? Please check class preferenceTHREE-YEAR-OLD CLASSES - children must be three (3) on or before November 1st of the year they register. FOUR-YEAR-OLD CLASSES - children must be four (4) on or before November 1st of the year they register. Tuesday/Thursday 9:00-12:00 PM Tuition: $270.00 per month for 10 months or $2,700 per year Monday/Wednesday/Friday 9:00-1:30 PM Tuition: $470.00 per month for 10 months or $4,700 per year Please include with this application a $75.00 non-refundable APPLICATION FEE. If you are enrolling multiple children, only one application fee is required.Signature of Parent/GuardianDate MM slash DD slash YYYY FAMILY PARTICIPATION Day–In Parent and Chaperones: The cooperative experience is based on the belief that parental participation in the classroom enriches our children’s first education experience. For both classes we ask that families assist in the classroom as the “day-in” parent a minimum of three (3) days during the year, in addition to the fundraising and maintenance responsibilities. Both classes are asked to join us as chaperones for field trips. Fundraising: The operating expenses of the school, which include the overall upkeep of the classroom and our playground, have always been in excess of income from tuition. Additional funds are needed to cover this gap. Each family is asked to participate in the fundraisers to the best of their ability. Maintenance/Clean-Ups: Throughout the year the classrooms and playgrounds are in need of thorough cleaning and reorganization. In order to accomplish this, each family is asked for three (3) hours over the course of the school year. TUITION Payment of Tuition: Tuition is an annual sum paid to the school. You have the choice to pay it in two ways: Monthly Installments: Ten (10) installments due as follows: June 1st: one tuition installment + one time insurance fee; If payment is not received by June15th the student’s placement in the class will be forfeited. This payment is nonrefundable. The first day of every month September through May: one tuition installment due. Full Tuition – The entire tuition may be paid in full prior to the start of school or at any time during the school year.INITIALS *The Milford Co-Op is only able to accept fully potty-trained children. NameThis field is for validation purposes and should be left unchanged.