Registration Form Step 1 of 2 50% Montessori Academy of Windsor Registration FormChild's Name First Last Address Street Address City State / Province / Region ZIP / Postal Code Home PhoneD.O.B Date Format: MM slash DD slash YYYY Previous schoolParent/Guardian #1 Name First Last RelationshipEmployerWork PhoneCell PhoneParent Email Parent/Guardian #2 Name First Last RelationshipEmployerWork PhoneCell PhoneParent Email Please list all of your child’s daily medications:Please list any of your child’s allergies or food restrictions: Physician’s NamePhoneChild’s Health card NumberEmergency contact info (other than parents)NamePhoneRelationship to child Authorized person(s) who may pick up your child:NamePhoneRelationship to child I am interested in private French lessons:YesNoI am interested in private Music lessons:YesNoI am interested in private Mandarin lessons:YesNoI am interested in private Arabic lessons:YesNoPERMISSION TO TAKE/USE PICTURES:I give the school permission to take pictures of my child for the following purposes: Newspaper articles, magazine articles, newsletters, scrapbooks, websites, school information, other publications Special days ex. Fall Festival, Spring Concert, Field trips, plays, etc I give the school consent to USE pictures for the purposes listed aboveYesNoCLASS CONTACT LISTEach class will be given a class list with the child’s name, address, and phone number. This is for out of school use! I consent to having my child’s name/information published on the class list:YesNoEMERGENCY RELEASE FORMCheck the box beside the statement: In the event of an emergency, if the school cannot reach a parent/guardian, I authorize that the school get all medical attention for immediately. Parent #1 SignatureParent #2 SignatureDate Date Format: MM slash DD slash YYYY CONDITIONS FOR ACCEPTANCE• Tuition fees are due and payable the 1st day of every month (post-dated cheques, Sept. through June). The fee schedule is attached. Montessori Academy of Windsor reserves the right to amend the fee schedule at any time. • Before and after school care hours will be charged on a monthly basis, as stated in the fee schedule. • The academic day runs from 9:00am to 3:30pm, September through June. Calendars will be distributed at the beginning of the school year outlining holidays, PD Days, Field Trips etc. • The academic progress, any concerns or questions that arise with your child will be open for discussion with the parent’s/guardian of the child. • Tuition is based on a 10-month term. All applications must be submitted with a current dated cheque which covers the child’s last month’s tuition and will be considered as a deposit to secure your child’s position. The Deposit cheque is non-refundable. • If a parent/guardian wishes to withdraw their child from the program, a one-month’s written notice is required. If a child withdraws after Feb. 1st, no post-dated cheques/refund will be returned. • The deposit will be forfeited in all cases of early withdrawal (early withdrawal is defined as a student leaving the program within the first 60 days). Only post-dated cheques will be returned to the parent/guardian in this scenario. • New students are accepted on a 60-day trial basis. If during this time the parent or teacher feels that the child does not “fit” the program, the child’s parents will be notified of all concerns and efforts made to remedy the situation; subsequently if the problems persist, the child be withdrawn from the program and post-dated cheques will be returned and the deposit refunded. • While at the school’s sole discretion, if a teacher decides to dismiss any child from the school during the year, notice will first be given to the parent/guardian, along with an outline of the behaviours or concerns that deemed it necessary to release the student. • Should a child become uncomfortable or ill, we will contact the parent/guardian to request immediate pickup of the child. Please be considerate of others and make every effort to leave your child home until they are well. • Children who arrive with an infectious/contagious disease, or fever, will not be admitted to school. • The school reserves the right to ban any foods that are a health risk to others. (Allergies, restrictions) • Issuance of NSF cheques incurs a fee of $35.00; if three NSF cheques are issued through the course of the year, the child will be withdrawn from the program. • Parents will pay on a monthly basis, regardless of the number of days the child attends school. Christmas Break and March Break programs are not included in the tuition. • Children must be escorted to and from our classroom directly by the parents. Check the box beside the statement: I/WE have read and agree to the above condition.
