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Office Use Only

Deposit
Registration
BRIDGES MONTESSORI ACADEMY Date Enrolled
Material Fee
716 Oak Street
Teacher
St. Charles, Il 60174
630.513.9742
Application 2017-2018
CHILD’S NAME_______________________________________________________________________________________ Male or Female

AGE______________DOB________________________

MAILING ADDRESS __________________________________________________________________________________________________________

CITY__________________________________________ ZIP CODE________________________________________

PRIMARY #_____________________________________________________________________________________

MOTHER or GUARDIAN NAME _____________________________________________________CELL____________________________________

EMAIL ______________________________________________________________________________________________
(Please print Clearly)

FATHER or GUARDIAN NAME_______________________________________________________CELL___________________________________

Email ______________________________________________________________________________________________
(Please print clearly)
Program Preference
Preschool Preschool Extended Day
____5 Day (M-F) 8:15-11:15am ____4 Day (M-Th) am-2:30pm (Teacher Recommended Only)
____5 Day (M-F) 8:30-11:30am
____3 Day (M-F) 8:30-11:30am
____4 Day (M-TH) 12:00-3:00pm
*Bridges accepts checks, Visa,
MasterCard & Discover; please see our
Kindergarten
fee schedule for payment due dates and
____8:45-2:45 (Full Day)
current prices.

REGISTRATION: A $100.00 Registration Fee is required of all new students. A $50.00 Registration fee is required for
all returning children. These are non-refundable fees unless your child is not placed by Bridges Montessori Academy.

DEPOSIT: A $100.00 Deposit required for preschool. A $500.00 Deposit for kindergarten. Deposit is non-refundable.
Deposits will be subtracted from your last payment in 2018. Should you need to withdraw your child for any reason, 30
days’ written notice is required and your regular tuition will apply during that period.

M ATERIALS FEE: Kindergarten =$100.00 payable at time of registration.


Parent or Guardian
Signature ______________________________________________ Date _____________

* prices, times, subject to change

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