Registration Form

Canyon Creek Presbyterian Church
3901 North Star Road, Richardson, Texas
Teri Budde - Coordinator, 972-238-8103, ext. 330

One form for each child, please.

Parent’s Name:
 Home Phone:
Cell Phone:
Street Address:
City/Zip:
Parent's Email:
Child's Name:
Age:
Date of Birth:
How did you hear about us:

FEE SCHEDULE

Program
Check
one
NONREFUNDABLE
Registration Fee * 		Monthly Tuition**
Two-Year-Olds (by Sep. 1, 2007)    
• Tuesday/Thursday

 $125.00 $190.00
• Monday/Wednesday/Friday $135.00 $270.00
       
14 months-23 months (by Sep. 1, 2007)
• Tuesday/Thursday $125.00 $180.00
• Monday/Wednesday/Friday $135.00 $260.00
       
Newborns-13 months (by Sep. 1, 2007)
• Wednesday $100.00 $130.00
• Tuesday/Thursday $125.00 $190.00
• Monday /Wednesday/Friday $135.00 $240.00

*Your NONREFUNDABLE Registration Fee includes the Supply Fee and also holds your child’s
spot for the 2007-’08 school year.
**Monthly tuition based on Annual Enrollment. This is not a drop-in program. Tuition is due each
month, regardless of absences due to illness, inclement weather, or traveling.
Siblings enrolled in CCPC Mother’s Day Out Program receive 10% discount off tuition.
This discount does not apply to siblings enrolled in JKS.
This discount does not apply to the Registration Fee.

If you have any questions, please contact: Teri Budde, MDO Coordinator at 972-238-8103, x 330