PRD Preschool Registration Form 2020

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PRD PRESCHOOLS REGISTRATION FORM 2020/21 Complete PRESCHOOL REGISTRATION FORM and submit, with tuition payment, to Piedmont Recreation Main Office. Multiple participants can register per form. Families can RANK preferences, per child, by indicating 1st/2nd choice. First month's tuition payment and signature are required to process Preschool Registration Form. First month tuition fees are refundable (less $50 processing fee) for 14 days from registration transaction date. Withdrawal requests MUST be made in writing. After 14 days, fees are non-refundable. Once registration is processed, a confirmation is emailed to you 3—5 business days following registration deadline. You will NOT be charged for any waitlisted programs.

Method of Payment PRD strongly encourages preschool tuition be made via an automatic payment schedule using a credit card stored on Active Net website: activenet.active.com/piedmontrecreation. In accordance with new regulations, credit card information may not be written in full on our Registration Form. Please choose from the following when using paper registration: Check

Adult Name

Cash

First

Address Phone

Stored Credit Card in ACTIVENET ending:

Last Street

Daytime

CVV Code:

Email City

Mobile

State Emergency Contact

Zip Relationship

Consent: I hereby absolve the City of Piedmont, its employees, and officers from all liability that may arise as the result of my participation in the above mentioned programs, and in the event that the above named participant is a minor, I hereby give my permission for his/her participation as indicated, and in so doing absolve the City of Piedmont, Piedmont Unified School District, its employees, and officers from such liability. I agree to and understand that PRD Preschool withdrawal requests MUST be made in writing. First month tuition fees are refundable (less $50 processing fee) for 14 days from registration transaction date. After 14 days, fees are non-refundable. Exceptions cannot be made to this policy. I also understand that the City of Piedmont Recreation Department occasionally takes photos of department programs and that these photos may include me or my child. I hereby authorize use of these photos for promotional or marketing purposes at the discretion of the Piedmont Recreation Department. I have read the registration guidelines, tuition requirements, preschool withdrawal and refund policies and agree to abide by them.

Signature

Date


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