RECESS RESOURCES, INC.

Cub Care Juniors Pre-School Programs

Admissions Contract & Agreement

As the Parent/Guardian of __________________________________, I agree to pay an annual (non-refundable) registration fee of $25.00 and the monthly fees for contract year _________ to Recess Resources, Inc. in accordance with the rates listed below for program services selected and the conditions of the following admission agreement.

PRE-SCHOOL PROGRAM OPTIONS

[__] 3yr old Class

Sessions: [__] AM - 3 Days - 9:20 a.m. - 11:50 a.m. (Mon., Wed., Fri.)

Program Rate: $_____.___/Month

[__] 4yr old Class

Sessions: [__] AM - 5 Days - 9:00 a.m. - 11:30 a.m. (Mon. - Fri)

Program Rate: $_____.___/Month

Modification Clause: This agreement may be modified whenever any of the circumstances covered by this agreement changes. Such modifications may only be made in writing, and must be signed and dated by the parties involved in order to be binding and effective. Oral modifications are not binding under this agreement and shall not be enforceable under any conditions.

I agree to cooperate with the general policies of the program. To perform the obligations of the Parent and/or Guardians set forth in the admission agreement with regard to payment procedures, rules, regulations, and manuals promulgated and provided by the program. My signature below indicates that I have read the terms of this agreement and that all of my questions have been satisfactorily answered.

Signature: Date: ____/____/____

Mailing address: Phone: _____-_________

Child's DOB:___/___/___

REV. 1/03-DYF/PRESCONT.WPS

Registration Fee of $25.00 received on ___/___/___ Ck# _______ or Cash Receipt #___________

First months payment of $ _____.___ received on ___/___/___ Ck# _______ or Cash Receipt #__________