CMS Summer Application Canton Montessori School Application: Summer 2024 Student Information Please fill out a separate application for EACH child enrolling at Canton Montessori School. Name * Name First First Middle Middle Last Last My child prefers to be called Birthdate * Address Address Address Address City City State/Province AlabamaAlaskaArkansasArizonaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming State/Province Zip/Postal Zip/Postal Is my child NEW to CMS? * Yes No Name of Child's Previous School or Daycare? Program Enrolling To * Summer Toddler Summer Pre-Primary Public School DISTRICT of Residence Public School BUILDING of Residence Does your child have an IEP/504 Plan? Yes No If yes, please provide CMS a current copy at registration. Parent Information Status of Parents * MarriedPartnersSingleDivorcedWidowed Do custody documents exist for my child? Yes No If yes, please provide CMS a current copy at registration. Parent One Name * Parent One Name First First Last Last Parent One Relationship to Student * Parent One address same as child? * Yes No Parent One Address Parent One Address Parent One Address Parent One Address City City State/Province AlabamaAlaskaArkansasArizonaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming State/Province Zip/Postal Zip/Postal Parent One Phone * Parent One Email * Parent One Employer * Parent One Position * Parent Two Name Parent Two Name First First Last Last Parent Two Relationship to Student Parent Two address same as child? Yes No Parent Two Address Parent Two Address Parent Two Address Parent Two Address City City State/Province AlabamaAlaskaArkansasArizonaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming State/Province Zip/Postal Zip/Postal Parent Two Phone Parent Two Email Parent Two Employer Parent Two Position Parent Three Name Parent Three Name First First Last Last Parent Three Relationship to Student Parent Three address same as child? Yes No Parent Three Address Parent Three Address Parent Three Address Parent Three Address City City State/Province AlabamaAlaskaArkansasArizonaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming State/Province Zip/Postal Zip/Postal Parent Three Phone Parent Three Email Parent Three Employer Parent Three Position Summer Toddler Enrollment Options: Tuition & Schedule Payment information listed is the monthly installment. Monthly tuition installment amounts are based upon your child attending the entire school year and have been divided into 10 installment payments for your convenience. Your first monthly installment payment invoice will include a prorated balance if your child begins after the school year is already in progress. Days per Week * 3 Days 5 Days 3 Days/Week * Monday-Tuesday-Wednesday Tuesday-Wednesday-Thursday For students attending 3 days/week, please mark one of the schedule options (days must be consecutive). Before Care Not Needed7:00-8:00 AM $1208:00-9:00 AM $60 Full Day 9:00-3:15 PM $850 After Care Not Needed3:15-5:00 PM $1055:00-6:00 PM $165 School Lunch PackDaily $45 Before Care Not Needed7:00-8:00 AM $2008:00-9:00 AM $100 Half Day or Full Day 9:00 AM - Noon $8509:00 AM - 3:15 PM $1080 After Care Not Needed3:15-5:00 PM $1755:00-6:00 PM $275 Summer Lunch PackDaily $75Pizza Friday ONLY $15 Total 2 Monthly Installment Payments (June & July) Summer Pre-Primary Options For Pre-Primary students families can either enroll the ENTIRE summer OR select half-day (9:00-Noon only) Summer Camp Sessions. Pre-Primary Summer Camp Options ENTIRE Summer Summer Camp Enrollment (Choose the Session) Summer Enrollment Options: Tuition & Schedule Summer camp is billed in two monthly installment payments billed in June and July. Days per Week * 3 Days 5 Days 3 Days/Week * Monday-Tuesday-Wednesday Tuesday-Wednesday-Thursday For students attending 3 days/week, please mark one of the schedule options (days must be consecutive). Before Care Not Needed7:00-8:00 AM $1208:00-9:00 AM $60 Full Day 9:00-3:15 PM $740 After Care Not Needed3:15-5:00 PM $1055:00-6:00 PM $165 School Lunch PackDaily $45 Before Care Not Needed7:00-8:00 AM $2008:00-9:00 AM $100 Half Day or Full Day 9:00 AM - Noon $7409:00 AM - 3:15 PM $930 After Care Not Needed3:15-5:00 PM $1755:00-6:00 PM $275 Summer Lunch PackDaily $75Pizza Friday ONLY $15 Total 2 Monthly Installment Payments (June & July) Half-Day Summer Camp Options These sessions are Monday-Friday from 9:00 AM - Noon ONLY. Lunch is not served. Product Session #1: Gardening/Nutrition (June 3 - June 20) $600 Session #2: Human Body (June 24 - July 12) $600 Session #3: Europe (July 15 - August 2) $600 Session #4: Hall of Fame (August 5 - 9) $200 Total 2 Monthly Installment Payments (June & July) Vacation Plans Families who enroll their child in the entire summer program are eligible for a maximum of a one week vacation credit (prorated credit based upon the entire summer tuition). What week(s) is your family planning on traveling? Fees & Deposits * New Families: An Application Fee of $200.00 for a first-time applicant is due upon acceptance of enrollment to Canton Montessori School and is non-refundable. Additionally, a tuition deposit of $300.00 is required to reserve an enrollment space. Check to acknowledge policy. Payment Information * • Payments are due on the 1st of each month. Parents are encouraged to participate in our electronic payment plan, eliminating the need to submit a check or credit card payment each month. Payments are automatically withdrawn from your account on/around the 1st and the 15th of each month. There are no fees for this service. Complete the Automatic Withdrawal Payment Agreement Form in the enrollment packet to sign up. Check to acknowledge policy. Parent Signature signature keyboard Clear By the signature below, I (we) acknowledge that I (we) have read, understand, and agree with this application for enrollment to Canton Montessori School and that all of the information provided is accurate and true. Submit If you are human, leave this field blank.