2013-2014 Summer/Fall Registration Form

Child's Name: Mothers Name: Fathers Name Street Address: City: Home Phone: Cell Phone:
5 day/wk Bright and Early Care Program Mon- Fri 7:00 a.m. 8:00 a.m. Half-Day Program Mon Fri 8:30 a.m. - 12:30 p.m. Full Day Program Mon Fri 8:30 a.m. - 3:00 p . m . Extended Program Mon Fri 8:00 a.m. - 6:00 p.m. Early Care Program Mon Fri 8:00 a.m. 8:30 a.m. Application Fees (one time enrollment fee) Registration Fees (annual prorated upon enrollment) Nap mats (one time fee) $100/mo. $600.00/mo. $750.00/mo. $850.00/mo. $ 50.00/child $100.00/child $250.00/year $50.00/child 3 day/wk $80 $500 $600 $700 2 day/wk $70 $400 $500 $600

Child's Date of Birth: Email:

State: Work Phone:

Zip:

AAIMS Montessori School serves fresh and nutritious and meals prepared on site for a small fee of

$50 per month including breakfast, lunch and mid morning and mid afternoon snacks. We can accommodate all food preferences including vegetarian. Playball, Karate, Ballet, Spanish, and Hindi classes are available for a small fee. The Montessori curriculum includes enrichment in Math, Science, Geography, Reading and Writing as

well as Music, Yoga and Foreign Language. I understand that all application and registration fees are non-refundable. Date: _____________

Parent Agreement: __________________________ *Sibling discount 10%

OFFICE USE ONLY: Date Received: __________________________ Amount Paid (Cash: yes / no / Check # _______________________________)