2020-21 New Student Toddler Application (1)

2021-22 New Student Toddler Application

This form is for students applying for the 2021-22 school year who are not currently enrolled at Bellevue Montessori School.

Parent #1 Name*
First Last
Parent # 1 Email*
Parent #1 Phone*
Parent #2 Name
First Last
Parent #2 Email
Parent # 2 Phone
Child's Name*
First Last
Child's Date of Birth*
Date Format: MM slash DD slash YYYY
Child's Gender*
Previous school or group experience:
Program for Enrollment*
Toddler Program Scheduling Preference*
Preferred Start Date. Note that child must be 18 months old to start*
- Summer Program 2021
- Fall Start: September 2021
- Other: mid-year start
If other, when would you like your child to start
Please check the boxes below if your child does the following*
- Able to understand and follow simple verbal directions
- Functional use of words to express their needs and wants
- Is able to walk independently across the room without falling
- None of the above
Have you discussed this with your child's doctor or had a developmental assessment? Please explain.
Campus Tour*
A parent or guardian must attend a tour at Bellevue Montessori School in order for an application to be considered. Out of state applicants may send a representative to complete the tour.
Application Fee
Price: $150.00
Bellevue Montessori School requires a one-time non refundable application fee of $150.00 for new students. Please complete the credit card information below to complete your application and payment.
Billing Information
Credit Card

American Express
Discover
MasterCard
Visa
Card Number Expiration Date Security Code Cardholder Name
Cardholder Email
Cardholder's Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

S	M	T	W	T	F	S
					1	2
3	4	5	6	7	8	9
10	11	12	13	14	15	16
17	18	19	20	21	22	23
24	25	26	27	28	29	30

Bellevue Montessori School

2021-22 New Student Toddler Application

Billing Information

@