APPLICATION 2021-2022 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 FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin 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 December 31st of the year they register. FOUR-YEAR-OLD CLASSES - children must be four (4) on or before December 31st of the year they register. Tuesday/Thursday 9:00-12:00 PM Tuition: $250.00 per month for 10 months or $2,500 per year Monday/Wednesday/Friday 9:00-1:30 PM Tuition: $450.00 per month for 10 months or $4,500 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 co-operative experience is based on the belief that parental participation in the classroom enriches our children’s first education experience. For our Three-Year-Old class 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. Our Four-Year-Old families will assist in fulfilling our school Board duties as well as fundraising and maintenance responsibilities. Although not a requirement, our Four-Year-Old families are always welcome to also assist in the classroom. 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. 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. CommentsThis field is for validation purposes and should be left unchanged.