Application Form Application form Child's name: Nickname: Date of Birth Address City Zip Child Lives with:Both parents Father Mother Siblings: Name: Age: Name: Age: Name: Age: Name: Age: Previous experience away parents/home: Nanny Babysitter Daycare Father’s Name Occupation Employer Phone Home Phone Cell E-mail Mother’s Name Occupation Employer Home phone cell phone: e-mail: I, hereby, make application for the above child in Montessori for Toddlers for the academic year, Beginning: Month/year And ending June: year Check 1st choice and indicate which days, (Monday – Thursday) are your preference: 9:00 a.m. – 12:15 p.m. 9:00a.m.-2:50 p.m. 3 days per week $ 1,010.00 3 days per week $1,078.00 4 days per week $ 1,280.00 4 days per week $1,398.00 Monday Tuesday Wednesday Thursday If you are flexible on the days per week please check here We will make every attempt to honor your requested days. Sometimes a long wait list prohibits giving everyone their first choice of days. We will be in contact with you once we have received your application. Application fee: $40 Signature: Date: Notes $150 composite fee is due at the time of acceptance to the program. Tuition is due on the 15th of the month preceding enrollment date. Receipt of this application puts your child on our waiting list. You will be notified when an opening becomes available for your child. Most families are notified in April for the following school year unless applying for a mid-year opening.