2010-2011 REGISTRATION FORM
DATE_______________
CHILD’S NAME______________________________________________________BIRTHDATE________________
Last First Middle
ADDRESS________________________________________________________________________________________
CITY________________________________________STATE_____________ ZIP____________________________
HOME TELEPHONE__________________________________ E-MAIL____________________________________
PARENTS’ NAMES________________________________________________________________________________
TUITION:
3-DAY AM
(8:45 TO 11:15) $375./MO.______Days Requested:
3-DAY PM(NOON TO 2:30) $375./MO.______ ______________
3-DAY AM/PM (8:45 TO 2:30) $630./MO.______
5-DAY AM(8:45 TO 11:15) $465./MO.______ Payment Choice: (circle one)
5-DAY PM(NOON TO 2:30) $465./MO.______ Monthly: 9 month
5-DAY AM/PM (8:45 TO 2:30) $745./MO ______ 12 month
FULL DAY KINDERGARTEN(8:45am TO 2:30pm) $695./MO.______ Annual: By Aug. 1st
ELEMENTARY (8:30 TO 2:45) $725./MO.______
EXTENDED DAY (7:30am-5:30pm) $345./MO.______* Scholarship Donation:
(*cost in addition to regular tuition) Add $__________/month to my
tuition for families in need.
MAY 2011 TUITION/DEPOSIT ON FILE IS _____________(Please deduct this from amount due)
PRE-SCHOOL/KINDERGARTEN REGISTRATION FEE:
AT THE TIME YOU REGISTER YOUR CHILD, WE REQUIRE: THESE FEES ARE NOT REFUNDABLE
$35. REGISTRATION FEE AND MAY 2011 TUITION
ELEMENTARY REGISTRATION FEE:
AT THE TIME YOU REGISTER YOUR CHILD, WE REQUIRE $1,000. 3-YEAR DEPOSIT.
THIS RESERVES A PLACE FOR YOUR CHILD(REN) IN OUR ELEMENTARY PROGRAM FOR 3 YEARS.
I understand that the children are admitted for the full academic year and that my agreement to pay tuition for the full academic year is not subject to adjustment because of illness, absence or withdrawal. The school expects all students to commit to a full school year. In keeping with the purpose and spirit of the Montessori approach to educating children, which includes helping the child develop positive attitudes toward himself and his environment, a child may need to be discharged if he/she does not fit the philosophy of the school. Discharge will be at the discretion of the director of the school.
Parent’s Signature_________________________________________
DATE
AMT. PD.
FOR SCHOOL USE
