2026-2027 Jungle Gym Preschool Intake Form

*Completing this form does NOT register your child for Preschool. Please call/text (509) 783-5465 once you have filled this form out to complete the registration process.*

Enrollment Fee: $85 (one-time)

Monthly Tuition (based on how many days your child attends per week)

Billed Monthly - choose 1 to 5 days/week.

Members:

• 1 day/week - $80/month

• 2 days/week - $160/month

• 3 days/week - $240/month

• 4 days/week - $320/month

• 5 days/week - $399/month

Non-Members:

• 1 day/week - $92/month

• 2 days/week - $185/month

• 3 days/week - $280/month

• 4 days/week - $370/month

• 5 days/week - $462/month

What days do you want to register your child for?

Are you:

Primary Contact #1:

Primary Contact #2:

Emergency Contacts/Pick-Up Authorizations:

Medical:

Vaccines:

I have read the Preschool handbook and policies carefully and fully understand their contents. I acknowledge that this is a release of liability and contract between myself and the individuals and groups listed above, including their agents and contractors, and I am signing voluntarily.

*Completing this form does NOT register your child for Preschool. Please call/text (509) 783-5465 once you have filled this form out to complete the registration process.*