Enrollment Form

•    Enrollment forms may be remitted after acceptance into the program.
•    A completed enrollment form and tuition deposit of $450 per child secures the child's spot in the programs requested.

Mother/Guardian1

Father/Guardian2

Is Father's/Guardian2's Address Same as Mother's?
Yes


CHILD 1:
September-June 2017/2018      January-June 2018 (2nd Semester)
Male     Female
Same as Mother's     Same as Father's

Academic Programming
CHILDREN’S HOUSE (ages 2 ½ - 4) 8:15 a.m. – 11:45 a.m.
EXTENDED DAY (age 5-6) 8:15 a.m. – 3:00 p.m.
ELEMENTARY (grades 1-6) 8:15 a.m. - 3:00 p.m.

Wrap-Around Care Programs
EARLY BIRD at 7:00 a.m.
EARLY BIRD at 7:45 a.m.
CHILDREN’S HOUSE PLUS (ages 2 ½ -4) 11:45 a.m. – 3:00 p.m.
AFTER SCHOOL CARE thru 4:30 p.m.
AFTER SCHOOL CARE thru 6:00 p.m.
VACATION CARE

Yes     No
Yes     No
Yes     No
Yes     No
Yes     No
Yes     No
Yes     No
Yes     No
Yes     No
Yes     No

Add Another Child?
Yes

Mother     Father     Other

Emergency information if parents cannot be reached:

Email Mother     Send home printed copy with my child
Email Father

Program Information:
•    All programs listed are for the academic school year, September through June.

Payment Information:
•    A 5% sibling discount on second and subsequent tuitions will be applied. (Does not apply to after school care.)
•    Submit your nonrefundable enrollment deposit of $450 with a check made payable to North Shore Montessori School, or via PayPal on the website. Once the enrollment form and deposit have been received, your spot will be held for the school year.

Please type your first and last name. By entering your name, you agree that your electronic signature is the legal equivalent of your actual signature.

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