Frederick Montessori Application 2024-2025

FREDERICK MONTESSORI APPLICATION FORM

Please complete the form below and return it to the office with your deposit payment for two weeks and a registration fee of $175. Required as well is a two-week tuition that will be applied to your child’s first two week’s school fees. All payments due upon enrollment. Please note that all deposits and registration fees are nonrefundable because they are used to reserve spots where there is interest in those spots from other families. We accept ACH and Credit Card Payments.

Today’s Date:(Required)

Child’s Full Name:(Required)

Date of Birth:(Required)

Child’s Home Address:(Required)

Street Address Address Line 2 City State ZIP Code

Home Telephone:(Required)

Preferred Starting Date:(Required)

Days of Enrollment Requested:(Required)

Hours of Enrollment Requested:(Required)

Toilet Learning?(Required)

Yes

Working On It!

Parent Name:(Required)

Cell Phone:(Required)

Work Phone:(Required)

Parent Email Address:(Required)

Parent Name:

Cell Phone:

Work Phone:

Parent Email Address:

Does your child have an IEP/IFSP:

Yes

If yes, may we have a copy?

Yes

How did you learn of Frederick Country Day?(Required)

Who can we thank for referring you to our school?

Why have you chosen Frederick Country Day?(Required)

Frederick Montessori 1601 Wheyfield Drive, Frederick, Maryland 21701 301-694-7000 www.frederickmontessori.com
email: info@frederickmontessori.com

Parent/Guardian Signature:(Required)

Date:(Required)

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Frederick Montessori Application 2024-2025

FREDERICK MONTESSORI APPLICATION FORM

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