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Admissions

Welcome to LIMS Academy! 

LIMS Academy accepts students of any race, national and ethnic origin or religion. The academy does not discriminate on the basis of ethnic or national origin. LIMS Academy welcomes children beginning at age two and continuing through the age of six. The admissions are open throughout the year and accepts applications on an ongoing basis. 


LIMS Academy Enrollment Form

Child’s Full Name: ____________________________________ Date: __________

 

Address_____________________________________________________________

 

City: ____________________ State: ______ Zip code: _______________________

 

Child’s age: ______________ Child’s Birthday: _____________________________

 

Mother’s Name:

____________________________________________________________________

 

Father’s Name: _______________________________________________________

 

Mother’s Home Phone: ____________________ Cell Phone: __________________

 

Mother’s Work Phone: _____________________

 

Father’s Home Phone: ____________________Cell Phone: ____________________

 

Father’s Work Phone: _____________________

 

Emergency Contact Person:

 

Relation: _________________________Contact Phone: _______________________

 

Emergency Contact Person:

 

Relation: _______________________ Contact Phone: ________________________

 

CHILD’S HEALTH RECORD: (A copy of your child’s immunization form and current physical will be needed)

 

General state of health: __________________________________________________

 

Doctor’s Name: _______________________Doctor’s phone: ___________________

 

Dentist Name: ________________________ Dentist phone: ____________________

 

Are your child’s immunizations up to date? _________________ (Please provide the school with appropriate immunization forms by August 15.

 

Does your child have any allergies? _________________________________________

 

Emergency Authorization: I give permission for the school to obtain emergency medical treatment, including emergency transportation, for my child if I cannot be reached immediately. I agree to be responsible for any emergency medical expenses incurred. (If parent/guardian refuses to sign, instructions must be attached stating what procedure the facility is to follow in case of emergency.)

_____________________________________________ __________________________

Signature Date

 

ABOUT YOUR CHILD

 

Has your child ever been in any school or daycare? ________________________________________________________________________

 

Describe your child’s personality and interests? ________________________________________________________________________

 

________________________________________________________________________

 

Is your child potty trained? __________________________________________________

 

Are there any other comments/concerns or information you would like to let me know

about?

________________________________________________________________________

 

________________________________________________________________________

 

________________________________________________________________________

 

TUITION: 

 

Tuition is due each month: Pricing


Age: 2/3K: $350.00

Age: 4/5/6K: $350.00

 

Please complete and sign your contract and return it with the enrollment packet.

Enrollment fees: The enrollment fee of $ 150.00 is required at the time of registration to secure your child’s place.

Checks should be made out to LIMS Academy


THIS FEE IS NON-REFUNDABLE

Section A

 

I hereby accept the place offered to my child _________________________, at LIMS Academy.

 

Section B

Tuition is due on the 10th of the each month and considered late by the 11th of each month.


______(Initial) I have read and agree to the information above and understand that my

enrollment fee is non-refundable.

______________________________ ___________________________________

 

Father’s Signature Mother’s Signature

 

Authorized Signature: _____________________________________