New Haven Day School Online

New Haven United Methodist Day School
5603 S. New Haven Ave.
Tulsa, OK 74135
Phone 742-6781FAX 743-9306
newhavendayschool.org

EXTENDED CHILDCARE REGISTRATION

Child's Name Sex Male Female

Child’s Age by September 1 Child's Grade

Transfer to Carnegie Yes No

Mother's Name

Work # Cell #

Father's Name

Work # Cell #

Home Address

Zip Code

Home Phone

Email Address

Church Affiliation

Would you like a call from our Pastor? Yes No

Registration/Materials Fee $60.00

Monday/Wednesday/Friday $120.00 + $60.00 = $180.00

Monday thru Friday $197.00 + $60.00 = $257.00

FOR OFFICE USE

School Year __________ Date Received __________ 
Check # ________ Cash ______ Registration Fee ______ 
1st Month Tuition ________ Total Received ________ 
Immunization Records Received ________________ 
Parent Agreement Signed ________ Withdrawal Date ________

New Haven Day School offers programs for four age groups.

Class Information
		Early Childhood (9 month to 2 years)
		PreSchool (3 to 5 year olds)
		Kindergarten Enrichment
		School-Age (K to 5th Grade)
		Music Program

Summer Programs
		Hot Fun in the Summertime!
		Down the Turnpike and Back!

Enrollment
		"ONLINE" Early Childhood Enrollment Form
		"ONLINE" PreSchool Enrollment Form
		"ONLINE" Kindergarten Enrichment Enrollment Form
		"ONLINE" Extended Day Care Enrollment Form