Form must be accompanied with a non-refundable $100.00 application fee. Please note application does not ensure enrollment.

Applying for the beginning date of: *

Infant and Toddler (3 months to 3 years) families please indicate preference:

Length of day:

Half Day (8:15 am – 11:30 am)

Full Day (8:15 am - 3:00 pm)

Extended Day (8:15 am - 4:00 pm)

Days per week:

3 days

4 days

5 days

Primary (3 to 6 years) families please indicate preference:

Length of day:

Half Day (8:15 am - 12:30 pm)

Full Day (8:15 am - 3:00 pm)

Extended Day (8:15 am - 4:00 pm)

After Care (8:15 am - 5:30 pm)

Child’s Full Name *

Birth Date *

Birthplace *

Gender *

Male

Female

Not yet known

Mailing Address *

City *

State *

ZIP *

Parent 1 Details

Parent 1 Name *

Address *

Phone *

Email *

Occupation *

Employer *

Business Address

Business Phone

Parent 2 Details

Parent 2 Name

Address

Telephone

Occupation

Employer

Business Address

Business Phone

Marital Status of Parents: *

Together

Separated

Divorced

With whom does applicant live? *

Sibling 1:

Age:

School:

Sibling 2:

Age:

School:

Sibling 3:

Age:

School:

What would you like your child to derive from their experience at South Coast Montessori? *

Please share what you know about the Montessori Philosophy. What inspired you to choose a Montessori School? *

Tell us your child’s birth story, or your birth plans. Methods, complication, issues: *

What discipline methods do you use or plan to use? *

What do you see as your strengths as parents? *

What do you see as your challenges as parents? *

1. School/Childcare Attended

School Address

Phone

Dates

2. School/Childcare Attended

School Address

Phone

Dates

Current teacher (if applicable)

Teacher Address

Teacher Phone

Teacher Email

Has your child had any type of testing or evaluations? *

Tell us about what you learned and any recommendations made for your child.

How did you hear about the school? *

*As part of compliance with our 501-C3 status, the IRS requires us to assess the ethnic composition of staff and student body annually. The categories above are drawn from those used by the United States Census Bureau. South Coast Montessori admits students of any race, color, national and ethnic origin to all the rights, privileges, programs, and activities generally accorded or made available to students at the school. It does not discriminate on the basis of race, color, national and ethnic origin in administration of its educational policies, admissions policies, scholarship and loan programs, and athletic and other school-administered programs. Identification provided (i.e. names) will be confidential

Upon receipt and review of entire application, SCM will contact family to schedule visits to introduce child to SCM staff. After visits and any necessary final assessments the family will be contacted in order to complete the enrollment process.

Release: I hereby give South Coast Montessori permission to phone and/or request records from my child's previous/current school, childcare provider, personal reference and/or educational professional agencies.

Signature *

Clear

Date *