Registration Form - Mars Hill Baptist Church

First Name

Last Name

Date of Birth

Age on September 1, 2023

Gender

Male
Female

parent's information

Are you a member of Mars Hill Baptist Church?

If No, what other church are you affiliated with?

Mothers Name

Fathers Name

Mothers Phone Number

Fathers Phone Number

Mothers Place of business

Fathers Place of business

Mothers Business Phone Number

Fathers Business Phone Number

Mothers Email

Fathers Email

Address line 1

Address line 2

City

State

Child Resides with

Both Parents
Mother
Father
Neither

ZIP Code

Class Schedule

PLEASE LIST YOUR SCHEDULE CHOICES IN ORDER:

REGISTRATION FEE PAID

Check Number

PLEASE PROVIDE EMERGENCY CONTACTS IN THE EVENT PARENTS CANNOT BE CONTACTED

Are there any restrictions reguarding the pick up of your child

Is your child toilet trained (3 & 4 year olds must be toilet trained)

does your child have preschool experience

Allergies or fears (I.E. Dogs)

Sibling Information

First Name

Last Name

Former MHPA Student

Additional comments

Unreadable? Regenerate

A non-refundable registration fee of $150 is due at this time and is required to secure your child’s placement in the preschool program. Family max of $175.

Classes	Number of Days	Hours	Price
*Kindergarten Transition	5 days (Monday-Friday)	8:30 a.m. – 12:30 p.m.	$395/mo.
* 3+4 year old class	5 days (Monday-Friday)	8:30-12:30 p.m.	$370/mo.
* 4 year old class	5 days (Monday-Friday)	9:00 a.m. – 12:00 p.m.	$320/mo.
3 + 4 year old class	4 days (Monday – Thursday)	9:00 a.m. – 12:00 p.m.	$295/mo.
3 year old class *Older 3/4 year old class	3 days (Mon/Wed/Fri) Must be 4 by Dec 31	9:00 a.m. – 12:00 p.m.	$265/mo.
2 year old class	2 days (Tuesday & Thursday)	9:00 a.m. – 12:00 p.m.	$230/mo

Child's information

parent's information

Class Schedule

Sibling Information

More Information

Address

Service Times

Sunday school: 9:30-10:30 a.m.

Sunday service: 10:45-11:45 a.m.

Phone