Village Montessori School Registration

Village Montessori School Application

Please complete this form to apply as a new student at Village Montessori
Student Information

Please enter the details of the student.
Student's Full Name

First NameLast Name
Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Gender
Grade Applying For
Student's Home Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Primary Language(s) Spoken at Home
Parent/Guardian Information

Please provide details for at least one parent or guardian.
Parent 1
Parent 2
Primary Contact for Communication:
Emergency Contact Information

Contact details in case of emergency (other than parent/guardian above).
Emergency Contact Name

First NameLast Name
Emergency Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Relationship to Student
Medical Information

Please provide any relevant medical information.
Does your child have any allergies? (food, medication, or environmental) If yes, please list; if no, please type N/A.
Medical Conditions
Current Medications
Physician Name & Phone
Academic and Support
Has your child received any of the following?
If yes, please explain:
Village Montessori is a private school and does not provide services under the public school IEP or 504 process. Any academic accommodations or support services are determined at the discretion of the school.
Please describe your child’s strengths and/or academic concerns:
Please describe child’s academic history including any Montessori experience:
Previous School Attended (if applicable), please provide address.
Can your child use the restroom independently? If no, what stage of the process are they in?
Additional Notes or Information
Required Uploads:
- Birth Certificate - Immunization Records - Most Recent Report Card
Upload Supporting Documents

Cancelof
Tuition and Fees
Application Fee: $35 beginning June 1 for new applications
Tuition Option Selected:
Florida Scholarship Information
Is your family participating in the Florida scholarship program through Step Up For Students?
Student Scholarship ID Number (not Student ID number)
Scholarship Type
Name of Parent Account Holder in EMA system
Expected Scholarship Amount (if known)
Families utilizing Step Up For Students scholarships are responsible for ensuring funds are properly allocated to the school through the EMA system. Any tuition balances not covered by scholarship funds remain the responsibility of the parent/guardian.
Agreements & Permissions
Agreements & Permissions
Parent/Guardian Electronic Signature
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Should be Empty:

Village Montessori School Application

Student Information

Parent/Guardian Information

Emergency Contact Information

Medical Information

Academic and Support

Required Uploads:

Tuition and Fees

Florida Scholarship Information

Agreements & Permissions