Child Information: Male Female

___________________________________________________________

First Middle Last Name

_______________ ______ ___________________________________

Date of Birth Age Place of Birth

Previous School: _____________________________________________

Permission to contact previous school: ____________________________ Signature

Programs:

Half Day (8:30am-11:30am)

Extended Day (8:30am-12:30pm)

Kindergarten (8:30am-2:30pm)

Kindergarten extra hrs: (hours:_______to______

Parent (Guardian) Information:

________________________________________________

Motherʼs Name

________________________________________________

Motherʼs home address

________________________________________________

City State Zip

________________________________________________

Home phone: area code - number

________________________________________________

Motherʼs Cell phone: area code - number

________________________________________________

Motherʼs Email Address

________________________________________________

Motherʼs Occupation

________________________________________________

Motherʼs Company Name

________________________________________________

Company City State Zip

________________________________________________

Company phone: area code - number

Work Hours: ________to________

Marital Status (circle one): married, single, divorced

Parent (Guardian) Information:

_______________________________________________

Fatherʼs Name

_______________________________________________

Fatherʼs home address

_______________________________________________

City State Zip

_______________________________________________

Home phone: area code - number

_______________________________________________

Fatherʼs Cell phone: area code - number

_______________________________________________

Fatherʼs Email Address

_______________________________________________

Fatherʼs Occupation

_______________________________________________

Fatherʼs Company Name

_______________________________________________

Company City State Zip

_______________________________________________

Company phone: area code - number

Work Hours: ________to________

Marital Status (circle one): married, single, divorced

Childʼs brothers and sisters:

_________________________ _________________________

Name Age Name Age

_________________________ _________________________

Name Age Name Age

Childʼs Grandparentʼs:

_________________________ _________________________

Name Phone #

_________________________ _________________________

Name Phone #

Application - School Year

Programs:

Half Day (8:30am-11:30am)

Extended Day (8:30am-12:30pm)

Kindergarten (8:30am-2:30pm)

Kindergarten extra hrs: (hours:_______to______

Elementary regular hrs (8:30am-3:00pm)

Elementary extra hrs (hours:______to______

Full Day (hours:_______to______)

2014 2015

Child’s Grandparents:

(8:15

Du Page Montessori SchoolParent (Guardian) Agreement

-

Overview:The Montessori method requires the school and the

teacher to give extensive time to the preparation of thelearning environment before, during and after the classroomprogram. It is the many hours of preparation that enables usto continue to present a quality educational program.

I understand that students are admitted for the fullacademic year and that my agreement to pay for the fullacademic year is not subject to adjustments for illness, schooldays closed for severe weather, absence, withdrawal ordismissal, personal vacations or for any school holidays (i.e.,Thanksgiving, Winter & Spring breaks). All new students areaccepted on a 60 day trial basis.

Permissions:1) I grant permission to the school to take my child on fieldtrips, to include him or her in photographs, and evaluationprograms.2) I agree to have my family address and phone number inthe classroom directory.

Obligations:In keeping with the spirit of Montessori Education

which emphasizes the importance of parent participation ineducation of the child, I agree:1) To observe a Montessori classroom and to attend parentorientation, parent workshops, family nights andparent/teacher conferences.2) To be supportive of the school-child-parent relationship.

Tuition Obligations:Tuition is due on the first day of school and the first of

every month, until the entire annual tuition is paid in full by thefirst day of May (refer to current tuition schedule and tuitionagreement). Without prior arrangement, a late charge of$6.00 per day will be charged for tuitions that are paid afterthe 3rd school day of the month. Checks returned forinsufficient funds will incur an additional $30.00 per checkfee, plus any late fee charges. After two returned checks,payment must be made in cash, until further notice. Aftertuition & fee payments are over 15 days past-due, your childis automatically dis-enrolled from the school and will not beable to attend class until payment arrangements are madewith the office.

Since students are admitted for the full academicyear, parents are responsible for the full annual tuition, whichis not subject to adjustments for illness, absence, personalvacations, school holidays, withdrawal or dismissal.

Dis-enrollment Policy:Du Page Montessori School reserves the right to dis-

enroll a child after two meetings with a parent or guardian todiscuss school concerns, if the school for any reason doesnot feel the child fits in with our school program.

When tuition & fee payments are over 15 days past-due, your child is automatically dis-enrolled from the schooland will not be allowed to attend class until paymentarrangements are made.

Withdrawal Policy:If a parent decides to withdraw their child/children from theschool, a meeting needs to be arranged between the parents,teacher, and directors of the school. A 30-day notice isrequired for withdrawal for which parents are responsible fortuition during that time. (30 day withdrawal is not acceptedafter April 1st.)

Application Procedure:1. Submit application and nonrefundable annual registrationfee of $120 for one child, or $180 for two children to Du PageMontessori School along with completed application form.2. Return the advance tuition payment by March 27, for the Fallschool year. The advance tuition payment is nonrefundable.All prospective students and parents must visit their classroomprior to enrollment.

Important Health Information:

Allergies:____________________________________________________________________________________________________________________________________________Health Restrictions:___________________________________________________________________________________________________________________________________Physical Impairments:_________________________________________________________________________________________________________________________________

Parent has read and accepts school policies:

_________________________________________________x Parent (Guardian) Signature Date

School Office Use Only:_______________________ ______________________Date of first interview Registration Payment_______________________ ______________________Date of enrollment Advance Tuition Payment_______________________ ______________________Date Application Received Date of dis-enrollment

_______________________________________________Teacher and Classroom

Notes: __________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

2014 2015

NapervilleSchool Calendar 2014-2015

August18 First Full Day of School19 Parent Orientation 5 p.m. (Toddler)20 Parent Orientation 7 p.m. (3-6 yrs.) 21 Parent Orientation 7 p.m. (Elementary) 28 Ice Cream Social 6 p.m.

September 1 No School-Labor Day Holiday 19 Spirit Day (students wear school t-shirt)24-25 School Picture Days

October 3 October Festival (games, food and magician)13 No School-Columbus Day November11 No School-Parent / Teacher Conference (Veteran’s Day)25 Children’s Thanksgiving Celebration26, 27, 28 No School-Thanksgiving Holiday

December4 Vision and Hearing Screening (Kindergarten and Elementary)11 Vision and Hearing Rescreening (Kindergarten and Elementary)

Winter Break (Daycare Available- December 22-January 2)

January 5 School Resumes19 School Closed - Dr. Martin Luther King Jr. Day20 Fall 2015 Current Student Registration Begins February13 Children’s Celebration of the Heart (Valentine’s Day)16 No School-President’s Day

March16 Summer Registration Begins20 No School - Parent/Teacher Conferences 29 Last day before Spring BreakSpring Break (March 30-April 3)-Daycare Available

April 6 School Resumes

May25 No School-Memorial Day28 Last Day of School-Graduation and Spring Celebration (tentative)29 Daycare Only

June 1 Summer School Begins

*Note: As a rule, school does not close for snow days. In the event of extreme conditions and/our staff is unable to make it to school, notification will be posted at the Emergency Closing Center at www.emergencyclosings.com . You may also call 847-238-1234.