Toddler/Primary Application

Toddler/Primary Application Form

Harbour Oaks Montessori School
What school year are you applying for?
Child's Full Name

First NameLast Name
Child's Home Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Child's Date of Birth

MonthDayYear
Date
Child's Gender
Academic Program

Please select one.
Classroom Option

Pre-primary (16 months - 3 years)Primary (3 - 6 years)
Time Option

Half Day (8:15am - 12:00pm)Extended Day (8:15am - 3:00pm)
Parent/Guardian 1 Information
Full Name

First NameLast Name
Address (if same as child, please write "SAME")

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number

Area CodePhone Number
Email
example@example.com
Parent/Guardian 2 Information
Full Name

First NameLast Name
Address (if same as child, please write "SAME")

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number

Area CodePhone Number
Email
example@example.com
Child's Health Information
Does your child have and of the following needs? Check any that apply.

Special Physical NeedsEmotional NeedsEducational NeedsLong-Term MedicationsIllnessCondtionsPhysical Restrictions
If any needs are checked above, please explain below:
Child's History and Habits
With whom does your child reside (immediate family, extended family, secondary care-givers)?
Who, beside a parent/guardian regularly cares for your child?
Siblings and their ages:
Usual bedtime:
Usual waking time:
Does your child share a bedroom? With whom?
What foods does your child prefer?
Does your child have any dietary restrictions?
Please describe your child's appetite and eating habits:
How do you discipline? Please describe your child's typical reaction:
Choose 5 words that describe your child:
What are your child's favorite activities?
What television programs/movies does your child watch? How many hours a week does your child watch television/movies?
What video/computer/phone/electronic games does your child play? How many hours a week does your child use electronic media?
How long can your child focus on a task (not including electronic-media oriented tasks)?
Does your child experience any difficulty using the toilet independently? Please describe obstacles, including when your child experiences problems or challenges.
Child's Development and Educational Experience
Last school attended (if child has been at home, please write "HOME")
How long did your child attend the above school?
Reason for leaving previous school / Reason for starting school for the first time?
What type of environments has your child been in since birth?
Does your child become anxious when separated from parent/guardian? Is he/she easily calmed? Please include suggestions for calming your child.
Educational Goals
How did you hear about Montessori?
What attracted you to Harbour Oaks Montessori School?
What are your long-range plans/goals for your child's education?
Would you like to see your child continue in Montessori until age 18 years?
How will you support the Montessori method at home?
What do you hope your child will gain from a Montessori education?
Is there anything you would like Harbour Oaks Montessori School to know about your child?
For an application to be considered for enrollment;
- An application must be submitted electronically or in-person at the school
- A one time, per child, non-refundable application fee of $100.00 must be turned in (in-person) to the school office
- Applicant must tour the campus
By typing your name below, you indicate that you have filled out the above information accurately and completely. By typing your name below you acknowledge you have read the application process requirements.
Name

First NameLast Name
Date

MonthDayYear
Date
Thank you for submitting an application to Harbour Oaks Montessori School!
Should be Empty:

Toddler/Primary Application Form

Academic Program

Parent/Guardian 1 Information

Parent/Guardian 2 Information

Child's Health Information

Child's History and Habits

Child's Development and Educational Experience

Educational Goals