Wild Hearts Nature School Application Form

CHILD’S APPLICATION FOR ENROLLMENT
The Garden's Wild Hearts Nature School
Name of Child*
Birth date*

MonthDayYear
Date
Starting Age (child's age as of August 31 of the school year you are applying for)*
years
months*
Address*

StreetAddress

Street Address Line 2

CityState / Province

City, State, Zip Code
FAMILY/CAREGIVER INFORMATION:
Primary Contact/ Parent/Guardian 1*
Home/CellPhone*
Address (if different than above)

Address

Street Address Line 2

CityState / Province

Zip Code
Where Employed (if applicable)
Business Phone
Parent/Guardian 2 Name
Home/Cell Phone
Address (if different than above)

Address

Street Address Line 2

CityState / Province

Zip Code
Where Employed (if applicable)
Business Phone
Preferred Email Address*
example@example.com
STUDENT INFORMATION:
Does your child have any allergies? Please explain below:*
Does your child have any chronic illnesses, conditions, behavior concerns or disabilities? Please explain below:*
What is your child's first language? Does your child speak any other languages? Please explain below*
Is there any other important information we should know about the child upon enrollment?
Program preference*
Days per week
Enrollment Term
school year
Enrollment Requirements
Please select all that apply:

This child is (or will be) between the ages of 3 & 6 years as of August 31 of the Enrollment Term selected aboveThis child is (or will be) using the toilet independently as of August 31 of the Enrollment Term selected aboveI am able to provide a current immunization record or medical waiver for this child upon enrollment
Enrollment Priority

Enrollment Priority is offered for the following circumstances in the order listed below.
Please select all that apply:

This child is the sibling of a current Garden or MMCS studentThis child has attended afternoon programming at The Garden (Parent/Child Classes, Sports or Borrow Buddies)I have attended an information session and school tourThe child/our family has previous experience at a Montessori school OR is the sibling of a former Garden or MMCS studentI am signed up to attend an information session and school tour
Are you interested in learning about any of the following? Select one or more for more information:

Parent & Child Montessori Classes for ages 0-18 months (currently enrolling for 21-22)Parent & Child Art, Gardening, Yoga or Music Classes for ages 18 months-6yrsWild Hearts After School Nature Club for ages 3-6 years (currently enrolling for 21-22)Sports & Movement Clinics for ages 3-6 years (currently enrolling for 21-22)Borrow Buddies Montessori Learning at Home: Lending Library Kits for ages 1-3 yrs (currently enrolling for 21-22)Parent Education/ Parenting WorkshopsSummer Camps for ages 15 months-rising 1st graders (limited space available, can be added on to school year enrollment if space allows)Employment Opportunities at The GardenFinancial Aid and ScholarshipsTeacher Training/ Professional Development
Would you also like to be notified of openings in our Pre-K program at MMCS (for ages 3-4 years) for the enrollment term selected above?

YesNo
Select and sign below to agree.*

I have read and agree to all of the program policies, terms and conditions listen in the Community Handbook and COVID Addendum available on the about page of the website.
Parent/Guardian Signature

Clear
A $75.00 non-refundable application fee is required in order to be added to our waiting list. Click here to pay online. An automated confirmation email will serve as your receipt.

Application Fee

Application FeeWild Hearts Nature School Application Fee

$75.00

Enter coupon

Total

$0.00

Payment Methods

Debit or Credit Card

First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Please click one of the PayPal options to complete payment and submit the form.

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CHILD’S APPLICATION FOR ENROLLMENT

FAMILY/CAREGIVER INFORMATION:

STUDENT INFORMATION:

Enrollment Priority