2023-24 Application for New Enrollment "*" indicates required fields Applicant InformationYour Child's Name* First Middle Last A separate application is required for each child.Child's Preferred Name Gender*MaleFemaleBirthday* Home Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Primary Phone*Email* Applying to Start*SeptemberJanuaryOtherIf applying to start at another time, please let us know when you would like your child to start?* Is another child in your family applying?*YesNoIs there any language other than English spoken in the home and to what extent? Montessori Program OptionsSelect your child's program.* Toddler (18 months – 3 years old) Primary (2 yr 9 mo – 6 years) Toddler (18 months – 3 years old)* Three Days (8:45 – 11:45 am) Five Days (8:45 – 11:45 am) Primary (2 yr 9 mo – 6 years)* Half Day (8:30 am – 11:45 am) Full Day (8:30 am – 3:00 pm) Extended Care ProgramsThere are several before and after school care options available to you. Please select those you are interested in and the number of days.Before School Care Early Bird (8:00 am – 8:30 am) # of Days per week attending Early Bird* 2 3 4 All Early Bird Days*Please select the days of the week the applicant will attend this program. Monday Tuesday Wednesday Thursday Friday Lunch Programs Lunch and Recess (1PM Dismissal) (Primary only) Lunch and Nap (3PM Dismissal) (Primary or Toddler) # of Days per week attending Lunch* 2 3 4 All Lunch Days*Please select the days of the week the applicant will attend this program. Monday Tuesday Wednesday Thursday Friday # of Days per week attending Lunch & Nap* 2 3 4 All Lunch & Nap Days*Please select the days of the week the applicant will attend this program. Monday Tuesday Wednesday Thursday Friday After School CareThere are two options for after school care. Kinder Kammer I (3:00 pm – 4:00 pm) Kinder Kammer II (3:00 pm – 5:00 pm) # of Days a week attending Kinder Kammer I* 2 3 4 All Kinder Kammer I Days*Please select the days of the week the applicant will attend this program. Monday Tuesday Wednesday Thursday Friday # of Days a week attending Kinder Kammer II* 2 3 4 All Kinder Kammer II Days*Please select the days of the week the applicant will attend this program. Monday Tuesday Wednesday Thursday Friday Parent/Legal Guardian InformationParent Name 1* First Last Parent 1 Relation to Student* Address is same as applicant (Parent 1)* Yes No Parent 1 Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Parent 1 Home Phone*Parent 1 Cell Phone*Parent 1 Email* Parent 1 Occupation* Parent 1 Employer* Parent 1 Work Number*Parent Name 2 First Last Parent 2 Relation to Student Address is same as applicant (Parent 2) Yes No Parent 2 Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Parent 2 Home PhoneParent 2 Cell PhoneParent 2 Email Parent 2 Occupation Parent 2 Employer Parent 2 Work NumberPlease check if applicable Parents Divorced Parents Separated Single Parent Father Deceased Mother Deceased Adopted What is the custody arrangement?*Which parent is to receive information during the application process?* Father Mother Both Siblings of ApplicantApplicant is an only child* Yes No Sibling Name* First Last Sibling Birthday* MM slash DD slash YYYY School Attending* Sibling Name First Last Sibling Birthday MM slash DD slash YYYY School Attending Sibling Name First Last Sibling Birthday MM slash DD slash YYYY School Attending Relatives and friends who are attending or have attended VFKH Montessori School Prior Schools AttendedSchool Name Reason for changing schools School Name Reason for changing schools Financial InformationPlease indicate the person financially responsible for the applicant’s tuition and fees.Name* First Middle Last Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Email* Relation to Student* How did you hear about VFKH Montessori School?* What would you like VFKH Montessori to know about your child?*Does your child have an IEP or any special physical, emotional or developmental needs?* What is your child's race or ethnicity? Please check all that apply.*This is requested only for the use of completing state-required data. It does not affect enrollment.HispanicBlack or African AmericanAmerican Indian or Alaskan NativeNative Hawaiian or Other Pacific IslanderAsianWhitePlease ReadEach application must be accompanied by a non-refundable Application Fee (for new students only). Enrollment fees will be paid online when you submit your application. VFKH Montessori School is a non-sectarian independent school established to provide the best education for youths of either gender in programs for children 18 months old through 6th grade without regard to race, color, religion, national origin, or disability (to the extent that reasonable accommodations are possible).Product Name*TotalYou will be taken to the payment screen after submitting the form. Parent Signature*Parent SignatureDate MM slash DD slash YYYY Please date the day of signatureCommentsThis field is for validation purposes and should be left unchanged.