Laren
MONTESSORI
_______________________________________________________________________________________________________________________________
“One becomes a well-balanced adult
Only if one has been fully a child.”
-MARIA MONTESSORI-
Date
Rec’d________________
Appl.Fee_____ Ck.
No.______
Deposit______ Ck. No.______
Date:_________________
$115.00 IS DUE WITH THIS
APPLICATION
Application is hereby made for admission of____________________________________( M / F ), DOB__________________
to the Laren Montessori School, 200__ - 200__
Home Address__________________________________________________________________________________________
(Street) (City) (Zip) (Phone)
Mother________________________Occupation_______________________________________________________________
Business name & address______________________________________________________________Phone______________
Father_________________________Occupation___________________________________________ Phone______________
Business name & address______________________________________________________________ Phone______________
Marital status: ( ) Married ( ) Divorced ( ) Single ( ) Separated E-mail address_________________________
Child resides with:_______________________________________________________________________________________
Names & Ages of siblings:________________________________________________________________________________
Please check the desired program:
PROGRAM
ANNUAL
THREE PAYMENTS
NINE PAYMENTS
(Aug., Nov., Feb.)
(Aug. 10 – April 10)
_____ 3 DAY PRE-PRIMARY 3 yr. olds
Tuesday, Wednesday, Thursday
_____ 5 DAY PRE-PRIMARY – 3, 4 & 5 yr. olds
5 Day – half day
_____ EXTENDED DAY –
3-5 yr. olds
5 day – full day
8:45 a.m. – 3:30 p.m. $ 4,694 $ 1,565 $ 522
_____ FULL DAY
KINDERGARTEN PROGRAM
8:45 a.m. – 3:30 p.m. $ 4,694 $ 1,565 $ 522
A
$115 non-refundable registration fee is required with this application. $50.00 is a non-refundable registration
fee and $65.00 is a non-refundable security fee, which will be deducted from the
August tuition payment.
Admissions: The School admits children of any race, color, religion, and ethnic or national origin. Consideration is given to class composition (boy-girl, ages) and available space and programs. Children are admitted provisionally.
Emergency and Health
Information:
A health form is required for each child. This must be submitted before a child can be admitted to class per state regulations.
Physician, Name and Phone:_______________________________________________________________
If you cannot be reached in an emergency, and immediate medical attention is indicated, do you authorize responsible school authorities to send your child (Properly accompanied) to a nearby hospital? Yes___No___
Allergies:_________________________________________Life threatening? No____Yes____Which?
Please describe (below) any personal or family circumstances that we need to know; special physical or emotional conditions; regular medication; special diet; etc. Please list other schools or childcare centers your child has attended.
____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Agreements:
I agree that my child will arrive on time for his or her class and be picked up at the end of the school day on time.
I agree to permit the participation of my child in the portrayal of school activities in film, slides, photographs, or other reproductions and their use in publicity, publications, or other representations of the School.
I agree to permit my child to take part in school field trips.
I agree to attend parent meetings, parent-teacher conferences, and classroom observation. The school assists the child in his or her development; accordingly, communication among the adults around the child is necessary.
Tuition & Fees:
Annual Fee: A 5% discount will be given if the annual tuition is paid in full on or before September 1st.
Three-Payment
Plan: Payments are due August, November, and February .
Nine-Payment
Plan: Payments are due August through April.
Sibling Discount: Younger siblings/discount of 10% will be deducted from the last tuition payment.
Returned Checks: Checks returned due to insufficient funds incur a $25.00 fee. Post dated checks will NOT BE ACCEPTED.
Contact: I understand that children are admitted for the full academic year and that my agreement to pay for the school year is not subject to adjustments for illness, absence, holidays or withdrawal. I may cancel this contract by giving written notice to the School 30 days before withdrawal.
Application Fee: A $115.00 non-refundable registration fee is required with this application. $50.00 is a non-refundable registration fee and $65.00 is non-refundable security fee which will be deducted from the August 10th tuition payment.
Deposit: A $200.00 family fundraiser/committee deposit is due July 10th. At the end of the school year it will be rolled over or refunded provided that all current obligations, including but not limited to tuition, committee work, sale of Taffy Apples, and extended care, are up to date. For those parents who do not use our extended care facilities, the deposit may be deducted from the last tuition payment, if all other obligations are met. For those parents who do use our extended care facilities, the deposit will be held until the end of May.
In consideration of the acceptance of my child as a student
in
I will pay the indicated tuition according to the Annual ________, Three –Payment Plan__________, or the Nine-Payment Plan____________.
Parent’s Signature________________________________________________________Date:__________________
Thank you