Application for Admission

Student's Name*
First Last
Gender*
Age*
Date of Birth*
Date Format: MM slash DD slash YYYY
Address*
Street Address City State ZIP Code
Parent Information
Parent A
Lives with student*
- Yes
- No
Name*
First Last
Relationship to Student*
Home Phone*
Occupation*
E-Mail*
Work Phone*
Cell Phone*
Parent B
Lives with student*
- Yes
- No
Name*
First Last
Relationship To Student*
Home Phone*
Occupation*
E-Mail*
Work Phone*
Cell Phone*
Names and ages of siblings

How were you referred to this school?*
Have you visited our school for a tour?*
Previous school(s) attend
School name
From
Date Format: MM slash DD slash YYYY
To
Date Format: MM slash DD slash YYYY
Address
Street Address City State ZIP Code
Phone
School Name
From
Date Format: MM slash DD slash YYYY
To
Date Format: MM slash DD slash YYYY
Address
Street Address City State ZIP Code
Phone*
Has your child beenreerred for academic evaluation or special testing? If so please describe.

I am applying for the following program (check below)
Infant & Young Toddler (Children 3 months - 18 months) Monday - Friday
- Full Day (8am - 6pm)
Pre-Primary-Todder (Children 18 months - 3 years) Monday - Friday
- Pre-Primary Part Day (8:30 - 12:45)
- Pre-Primary Extended Day (7:30 - 6:00)
Primary (Children 3 - 6 years) Monday - Friday
- Primary Part Day (8:30 - 1:00)
- Primary Extended Day (7:30 - 6:00)
- Kindergarten/Enrichment (8:30 - 3:00)
- Kindergarten/Enrichment Extended Day (7:30 - 6:00)
Elementary (Children 6 - 12 years)
- School Day (8:30 - 3:00)
- Elementary Extended Day (7:30 - 6:00)
Desired Start Date*
Date Format: MM slash DD slash YYYY

Terms and Conditions
Please read and check the boxes to indicate that you accept the conditions.
*
A non refundable application fee of $85.00 must accompany this form. This fee is not applied towards any part of the tuition. Application and enrollment fees are non-refundable.
I Agree
*
All program placements of children are solely at the discretion of the school and are based upon an appropriate age/developmental level. The school reserves the right to suspend or terminate enrollment based on a child's compliance with the MINIMUM requirements for attending school, childcare or pre-school prescribed by the State Board of Health's Regulations for the Immunization of School Children.
I Agree
*
ALL forms necessary to complete the admission process, i.e. Contract, Child Info form (Typed - Handwritten forms will not be accepted), Tuition Payment Election Form, Proof of Identity (Birth Certificate), School Entrance Health Form, MUST be completed and submitted PRIOR to the first day of attendance. Children may not attend school until all forms have been completed.
I Agree
*
If your child will be staying beyond their contract time, you will be billed at the extra hour rate of $15 per hour or any portion thereof. All additional time of attendance must be approved in advance by the school administration. If your child is not picked up by the school closing time, you will be charged an overtime rate of $4 per minute per child based on the clock in the office.
I Agree
*
We hereby promise to meet the tuition rates schedule and the dates due. No transfer of records will be granted until the financial obligations to the school have been met.
I Agree
Reston Montessori School admits students of any race, religion, color and national or ethnic origin.
Application Fee
Quantity
Please enter a number from 1 to 1.
Total
$0.00

Step 1 of 4

Parent Information

I am applying for the following program (check below)

Terms and Conditions