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Child's First name

Child's Last name

Child's Birthday *

Month

Day

Year

Parent #1/Contact Full Name *

Contact Parent's Email

Contact Parent's Phone *

Child's Address

Country/Region

Address

City

Zip / Postal code

Program of Interest

5-Day, Full Day

3-Day, Full Day

2-Day, Full Day

Summer Term

Desired Start Date *

Month

Day

Year

Do you have flexibility on your start date?

Yes, limited (up to a month)

Yes, some (up to six months)

Yes, very flexible (up to a year)

No, I need care exactly around that time.

Are you flexible on your program of choice?

Yes, we can do 5-, 3-, or 2- days/week

Yes, we can do 3- or 2-days/week

No, we are only interested in our selected program option

Our hours of operation are 7:30 am to 5:30 pm. Drop off is either between 7:30-8:00 am for breakfast or 8:30 am. Pick up is after 3:30 pm. What would be your regular drop-off and pick-up times? *

What is your expected enrollment duration?

Ending after Kindergarten (age 5/6) or First Grade (age 6/7)

Ending after PreK (age 4/5)

Ending after Preschool (ages 3/4)

Short Term or Special Age Waiver (K-2nd)

Does your child have siblings? (*If wanting a sibling to enroll at this time as well, please submit a second application for the other child) *

Yes, younger. We NEED them to attend together.

Yes, younger. We do NOT need them to attend together at this time.

Yes, older.

No siblings

While we provide a 2-week trial period, we ask parents to commit until either the end of the LCPS school year or LCPS summer. We cannot guarantee holding your child's spot over a summer. What would be your preference for enrolling each year? *

Enrolling THROUGH the Summer

Enrolling to the end of the School Year (if a Summer Term Spot is not filled, we will pay through the summer to reserve our spot)

Enrolling to end of the School Year ONLY

Enrolling for Summer Term ONLY

Describe your child's previous schooling experience?

Describe your child and his/her personality. Likes/dislikes.

Describe what you value most in an early childhood school?

Describe your goals for child while attending Highland Hills.

Describe your parenting style?

Describe your child's response to redirection.

While we will assist with wiping through age 3, do you understand that if your child is NOT fully potty trained by his/her start date, you will have the option to pay an additional $250/month for diapering or forfeit his/her spot? *

My child is already fully potty trained. We are not worried!

Yes, we are committed to working towards potty training and understand what may happen.

Will your child be able to rest or nap from 1:10-3:00 pm?

My child naps well.

My child will rest quietly on his/her cot without interrupting other children.

My child is in Kindergarten or First Grade and is able to work quietly on handwork, reading, project work, and art with limited adult assistance.

My child does not nap and will not be able to stay on a cot.

Has your child ever been asked to leave or put on probation from any program or school experience?

Yes

No

Do you trust your child to respond quickly to you to in a parking lot or in a non-fenced park when it's time to go?

Yes, my child responds quickly to instructions in these situations.

No, my child may choose not to listen. She/he may run away or continue playing. It's something we are working on.

Not fully. While my child never runs off when cars are involved, she/he may refuse to listen when it's time to go in a park. We are working on this.

Touring WITH your child is pre-requisite of an enrollment offer. If the tour was provided a year or more prior to enrollment, you may be required to visit again.

I have already toured with my child.

I need to schedule a tour.

I will need to schedule a second visit with my child.

Are there any questions or concerns you have about your child attending Highland Hills

Highland Hills offers a diverse multi-age, personality, ability, and gender environment according to the principles of Dr. Montessori. We extend offers to nurture this vision and according to the current needs of our children.

Yes, I understand enrollment is based on needs of the community and availability, not first come, first serve.

No, I don't understand.

We offer spots on a rolling-basis. If offered a spot, you will have 48-hours to accept or decline. Your spot will not be secured until you submit your initial deposit and registration fee. Do you understand?

Yes, I understand.

No, I don't understand.

Please sign below that all information provided above is true to your knowledge. You (the Parent) also understand that this is not an enrollment offer or contract from Highland Hills Montessori School and this form does not guarantee enrollment.

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