Toddler Program Application Form



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Toddler Program Application Form
Child’s Name: _____________________ Birthdate: __________ Gender: ________
Address: _______________________________________________________________
Family E-mail Address: ___________________________________________________
If not with both parents, with whom does the child reside? ________________________

Parent 1 name: ___________________________ Relationship: _________________
Address (if different from child): ______________________________________________
Occupation: ____________________________ Hours of Employment: _____________
Workplace:______________________________________________________________
Home Phone: ____________ Work Phone: ____________ Cell Phone: ____________

Parent 2 name: ___________________________ Relationship: __________________
Address (if different from child): ______________________________________________
Occupation: ____________________________ Hours of Employment: _____________
Workplace: _____________________________________________________________
Home Phone: ____________ Work Phone: ____________ Cell Phone: _____________
How did you learn about Our World Montessori?

If you heard about us from a current or former family, please let us know whom we should thank for the recommendation:

Has your child previously participated in any type of program? If so, which program have they attended?

Why do you wish to enroll your child in a Montessori Program?
What are your expectations of your child’s education at Our World Montessori?
Please describe your child’s strengths and challenges.
In order for us to prepare the environment that will meet the needs of your individual child, please supply the following information. Does your child have any disabilities, allergies, dietary restrictions, or medical requirements? Please describe.

Your child’s primary language: ______________________________________
Other languages spoken in the home: ________________________________

Has your child ever experienced discipline challenges (including evaluations/assessments, suspension or expulsion) in an educational setting?

Yes ___ No ___ If yes, please explain.

Are you committed to keeping your child at Our World Montessori through the

3-year cycle in our Children’s House? Yes ___ No ___
Our Toddler Program is available for children who are 18 months* – 3 years old by September of the year they will begin in our program. *Children who are 14 – 17 months in September may be enrolled if they are considered developmentally ready by OWM.
Please rank your choice of program (1st, 2nd, 3rd):
___ 3 days / week - Monday, Tuesday, Wednesday

___ 3 days / week - Wednesday, Thursday, Friday

___ 4 days / week - Monday, Tuesday, Thursday, Friday

___ 5 days / week – Monday – Friday

Please indicate the hours you are interested in having your child attend.

___ Half-Day program 8:45 – 12:45

___ Full Day program 8:45 – 3:15

___ Morning Care addition 7:45 – 8:45

___ Aftercare (early pick-up) 3:15 – 4:30

___ Aftercare (late pick-up) 3:15 – 5:30


Thank you for taking the time to fill out this application completely. The information contained in it will be kept confidential. Please return this form with a non-refundable application fee of $50. We must receive both your completed application and application fee before your child can be considered for placement in our program. If we are able to offer your child a place at Our World Montessori, we will contact you to begin the enrollment process.


Parent 1/ Guardian Signature: __________________________________ Date: _______
Parent 2/ Guardian Signature: __________________________________ Date: _______

Our World Montessori is committed to the principal of diversity and does not discriminate on the basis of race, color, religion, or national and ethnic origin.



2016-2017 School Year Tuition Information
Application Fee $50 per child
Enrollment Deposit – applied towards final tuition payment $450 per child
Tuition Payments

Our World Montessori allows for 10 monthly payments with no interest charges. The first 9 payments equal 10% of your child’s school year tuition and are paid on or before the 1st of each month from July 1 through March 1. The last payment on April 1 is the balance due after the $450 enrollment deposit has been deducted from the monthly payment.


Sibling Discount

Families with two children attending Our World Montessori in the same year will receive a 10% discount off the second tuition (equal or lesser value). Families with three children attending Our World Montessori in the same year will receive a 10% discount off the second tuition and a 20% discount off the third tuition (equal or lesser value).


Tuition Prepayment Discount

A 5% discount will be available for tuition paid in full on or before April 1, 2016.


Tuition Assistance

Tuition assistance is available to returning families and will be awarded on an annual basis. Decisions regarding assistance awards will be made based on financial need and family dedication to the Montessori philosophy and to Our World Montessori. A significant portion of our tuition assistance budget is set aside for third-year (Kindergarten) students. We work hard to ensure that all families, regardless of income, committed to enrolling children through their Kindergarten year at Our World are able to do so.



Tuition Schedule





5 days

4 days

3 days

Toddler Program










Half day (4 hrs) 8:45 – 12:45

$7,460

$6,760

$5,960

Full day (6.5 hrs) 8:45 – 3:15

$11,200

$9,820

$8,400

Primary Program










Half day (4 hrs) 8:45 – 12:45

$6,940

$6,290

$5,250

Full day (6.5 hrs) 8:45 – 3:15

$11,040

$9,760

$8,210

Child Care Additions










AM Care 7:45 – 8:45

$610

$560

$500

Wrap around with early pick-up 7:45 – 8:45 & 3:15 – 4:30

$1,800

$1,600

$1,340

Wrap around with late pick-up 7:45 – 8:45 & 3:15 – 5:30

$2,730

$2,530

$2,230

Aftercare early pick-up 3:15 – 4:30

$1,240

$1,080

$885

Aftercare late pick-up 3:15 – 5:30

$2,190

$2,040

$1,830


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