enrollment application. - The Montessori School of Oakton

Montessori School of Oakton
703-715-0611
P.O. Box 412
12113 Vale Road
Oakton, Virginia 22124
APPLICATION FOR THE MONTESSORI SCHOOL OF OAKTON
FOR SCHOOL YEAR - ¨ NEW enrollment ¨ RE-enrollment
NAME OF CHILD
(last) (first) (middle)
DATE OF BIRTH / / SEX ¨ Female ¨ Male
ADDRESS
(street) (city) (zip)
PARENT/GUARDIAN INFORMATION:
Mother’s/Guardian
Father’s/Guardian
Name
Name
Address Address ___________________
Home Phone
Home Phone
Cell Phone
Cell Phone
Email _______________________________ Email _______________________________
Mother’s/Guardian Work
Father’s/Guardian Work
Name
Name
Address
Address
Work Phone
Work Phone
OTHER CHILDREN IN FAMILY:
Name Age School
Name Age School
Name Age School
Schools previously attended: ____________________________________________________________________
Schools currently attending: _____________________________________________________________________
How did you hear about us?

DESIRED PROGRAM
¨ Primary Half Day (PreK) ¨ Primary ll (K) ¨ Elementary (1-6)
REQUIREMENTS FOR ENROLLMENT IN THE ELEMENTARY CLASS:
♦ Age 6 by September 30 th of school year.
♦ Montessori Primary experience and recommendation of the Primary teacher.
♦ Recommendation of the Elementary teacher.
Are there any special problems – Health, Transportation, etc. of which we should be aware of?
PAYMENT PREFERENCE: ¨ Annually ¨ Bi-annually ¨ Monthly
A $40 non-refundable application fee is due with this form (applies to new students only). After returning the
application to The Montessori School of Oakton, an interview with your child by a certified Montessori teacher will
be arranged. Upon acceptance or re-enrollment, a $500 enrollment deposit is due. This deposit is non-re fundable
but guarantees your child a place in the school and is applied toward the total tuition.
The Montessori School of Oakton admits students of any race, color, creed or national origin. The Montessori
School of Oakton is open to children between the ages of three (3) and twelve (12). When completing the
application, please keep in mind that each level, primary (3-6), lower elementary (6-9) and upper elementary (9-12),
is a three-year program.
Signature of Parent/Guardian
SCHOOL OFFICE USE ONLY:
Date of Entrance
Date of Exit