Application Payment Form | FCCNurserySchool

FCCNS Registration for 2024-2025

Please complete ONE FORM PER CHILD.

Please ensure that you register your child for the age
group necessary based on their date of birth:
2s (1/1/22- 9/1/22)
3s (1/1/21- 12/31/21)
4s (1/1/20-12/31/20)

A $50 nonrefundable online registration fee per child/form is
required in order for your registration to be complete.

FCCNS offers a limited amount of need-based scholarship for tuition.

Please contact the office for more information.

Thank you for your interest in FCCNS!

Child's Last Name

Child's First Name

Child's Date of Birth

Child's Nickname (if applicable)

Parent 1 Last Name

Parent 1 First Name

Parent 1 Email

Parent 1 Cell

Parent 2 Last Name

Parent 2 First Name

Child's Street Address

Child's City

Child's State

Child's Zip Code

Are you an active member of The First Congregational Church of Darien?

Yes

Is applicant a current student at FCCNS?

Yes

Is applicant a sibling of a past or present FCCNS student?

Yes

Name of Sibling and Years at FCCNS (if not current)

Comments

Your Signature

Birth Certificate

Upload Birth Certificate

Fee ($)

$50 FCCNS Application Fee per Child - $50

Thanks for submitting!