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Alden Montessori School

Application for Admission

Step 1 of 8

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Student Information
Requested Start Date (MM/DD/YYYY)*
Child's Full Legal Name*
Date of Birth (MM/DD/YYYY)*
Gender*
- Male
- Female
Race and Ethnicity*
- White
- Black/African American
- American Indian/Alaskan Native
- Asian
- Native Hawaiian/Pacific Islander
- Hispanic/Latino
Child's Home Address*
Street Address City State / Province / Region ZIP / Postal Code
Child primarily lives with...*
- Both Parents
- Mother
- Father
Which language is primarily spoken at home?*
- English
- Spanish
- Both English and Spanish
Has your child been to school before?*
- Yes
- No
Was it a Montessori School?*
- Yes
- No
Previously Attended Schools
Name of School City Dates Attended
Enrollment Standards
The Alden Montessori School provides the benefit of selective enrollment. In fairness to everyone in the class, the minimum standards for admissions and continuing attendance include that each student:

1. fits within the academic curriculum, emotional maturity, and physical size range for the class;

2. is able to work with an appropriate measure of independence;

3. meets the respectful behavioral standards of the school;

4. is not frequently or unusually disruptive;

5. does not require substantially more than his/her fair share of the teacher's attention.
The Alden Montessori School provides the benefit of selective enrollment. In fairness to everyone in the class, the minimum standards for admissions and continuing attendance include that each student: 1. fits within the academic curriculum, emotional maturity, and physical size range for the class; 2. is able to work with an appropriate measure of independence; 3. meets the respectful behavioral standards of the school; 4. is not frequently or unusually disruptive; 5. does not require substantially more than his/her fair share of the teacher's attention.
How did you hear about us?*
- Drive By
- Internet
- Referral
If a referral, who may we thank?
Primary Parent/Guardian (Parent in Charge of Tuition Payment)
Primary Parent/Guardian Name:*
Primary parent/guardian relation to child.*
- Mother
- Father
- Other
Primary Parent/Guardian Address*
Same as Child's Address

Street Address City State / Province / Region ZIP / Postal Code
Primary Parent/Guardian Cell Phone Number*
Primary Parent/Guardian Email*
Primary Parent/Guardian Employer*
Primary Parent/Guardian Occupation*
Primary Parent/Guardian Employment Phone
Do you want to add a secondary parent/guardian?*
- Yes
- No
Secondary Parent/Guardian
Secondary Parent/Guardian Name*
Secondary Parent/Guardian relation to child.*
- Mother
- Father
Secondary Parent/Guardian Address*
Same as Child's Address

Street Address City State / Province / Region ZIP / Postal Code
Secondary Parent/Guardian Cell Phone Number*
Secondary Parent/Guardian Email*
Secondary Parent/Guardian Employer*
Secondary Parent/Guardian Occupation*
Secondary Parent/Guardian Work Phone

Help us get to know your child better.
Which program are you enrolling your child for?*
- Toddler (2-3 years old)
- Early Childhood (3-6 years old)
- Elementary (6-9 years old)
If Toddler or Early Childhood, how many days per week?*
- 5 days per week
- 3 days per week
- Not sure yet
Will you need care outside of the academic day? Check all that apply.*
- We need mornings only - Pick up before lunch.
- We need school day only - Pick up by three.
- Yes, we will need Before School Care: 7am - 8:30am
- Yes, we will need After School Care: 3:00pm - 6:00pm
- Yes, we will need Winter Break and Spring Break Care.
- We are not sure yet.
What aspects of Montessori's values or techniques attracted you to this type of education?*
What parenting techniques do you find most helpful with your child?*

Toddler Physical Development
Does your child still explore the world through putting things in their mouth?*
- Very much
- Once in a while
- Not any more
Where is your child in their toilet training? (Check all that apply)*
- Not interested yet
- Showing some interest
- Urinates in the toilet consistently
- Has bowel movements in the toilet consistently
- Completely independent with wiping and dressing
Does your child feed him/herself?*
- No, I always help my child eat
- Yes, My child eats independently
Do you have any concerns about your child's physical development you would like us to know? (Check all that apply)*
- No concerns
- Difficulty with large motor coordination
- Difficulty with fine motor coordination
- Other
If other, please elaborate.
Toddler Emotional Development
What is your child's temperment? (Check all that apply)*
- Easy going
- Shy and reserved
- Boisterous and funny
- Anxious and fearful
- Easily frustrated
Does your child have separation anxiety?*
- Yes
- No
- Sometimes
Does your child carry a comfort item?*
- Yes
- No
Toddler Speech and Language Development
Does your child speak?*
- Never
- Only around family
- Cautiously around strangers
- Speaks to everyone!
Does your child...*
- babble
- speak in single words
- speak in short sentences
- speak confidently
Is your child's speech...*
- difficult for others understand
- clear where everyone can understand
Is/was your child in speech or language therapy?
- Yes, currently
- Yes, but not currently
- No, has not had therapy

Early Childhood Physical Development
Where is your child in their toilet training?*
- Not interested yet
- Showing some interest
- Urinates in the toilet consistently
- Has bowel movements in the toilet consistently
- Completely independent with wiping and dressing
Does your child feed him/herself?*
- No, I always help my child eat
- Yes, my child eats independently
Do you have any concerns about physical development you would like us to know? (Check all that apply)*
- No concerns
- Difficulty with large motor coordination
- Difficulty with fine motor coordination
- Other
If other, please elaborate
Early Childhood Emotional Development
What is your child's temperment? (Check all that apply)*
- Easy going
- Shy and reserved
- Boisterous and funny
- Anxious and fearful
- Easily Frustrated
Does your child have separation anxiety?*
- Yes
- No
- Sometimes
What are your child's social preferences? (Check all that apply)*
- Prefers being with younger children
- Prefers being with older children
- Prefers working beside a teacher
- Prefers observing others
- Stays busy with self-directed tasks
- Prefers playing with one close friend
- Prefers playing in groups of friends
Early Childhood Speech and Language Development
Does your child speak?*
- Never
- Only around family
- Cautiously around strangers
- Speaks to everyone!
Do you feel that your child may have a speech or language delay?*
- Yes
- No
- Possibly
If yes, is/was your child in speech or language therapy?
- Yes, currently
- Yes, but not currently
- No, has not had therapy

Elementary Physical Development
Do you have any concerns you would like us to know about your child's physical development? (Check all that apply)*
- None
- Difficulty with large motor coordination
- Difficulty with fine motor coordination
- Difficulty writing neatly
- Other
If other, please elaborate.
Elementary Emotional Development
What is your child's temperment? (Check all that apply)*
- Easy going
- Shy and reserved
- Boisterous and funny
- Anxious and fearful
- Easily frustrated
What are your child's social preferences? (Check all that apply)*
- Prefers being with younger students
- Prefers being with older students
- Prefers working beside a teacher
- Prefers observing others
- Stays busy with self-directed tasks
- Playing with one close friend
- Playing in groups of friends
Elementary Speech and Language Development
Do you feel your child may have a speech or language delay?*
- Yes
- No
- Possibly
If yes, is/was your child in speech or language therapy?
- Yes, currently
- Yes, but not currently
- No, has not had therapy
Academic
Do you have any concerns about your child's academic progress?*
- Yes
- No
If yes, please elaborate.
Has your child been expelled for behavior challenges from previous schools or daycares?*
- Yes
- No
If yes, please elaborate.

Medical Information
Preferred Hospital (In emergency, closest hospital will be chosen)*
Hospital Name Street Address City State / Province / Region ZIP / Postal Code Country
Hospital Phone*
Primary Care Physician*
Physician's Name Street Address City State / Province / Region ZIP / Postal Code Country
Primary Care Physician Phone*
Dentist
Dentist Name Street Address City State / Province / Region ZIP / Postal Code Country
Dentist Phone
Your Child's Dietary Requirements*
- Non-restricted diet
- Non-restricted diet (except allergies)
- Vegan
- Vegetarian but allows eggs
- Vegetarian but allows eggs and dairy
- No Pork
- No Beef
Does your child have any allergies?*
Please list all allergies and severity. (mild, moderate or severe)*
For severe allergies above, please list the protocol for each.*
Does your child have a medical condition we should know about?
The parent/guardian acknowledges that in the event of a rising high fever, the school will make every effort to contact the parent/guardian. However, if a parent/guardian cannot be reached and a child is registering a fever of 104 degrees or higher, the parent/guardian authorizes Alden Montessori School LLC to administer the appropriate dosage of fever reducer until they can be reached.*
- I acknowledge
Would you like sunscreen applied to your child in after school care? (Provided by parent and labeled with child's name)*
- Yes
- No
Would you like bug spray applied to your child? (Provided by parent and labeled with child's name)*
- Yes
- No

Emergency Contacts/Authorized Pick-up
Emergency contact (is also an authorized pickup) in case parent/guardian cannot be reached. Must be someone other than parent/guardian.*
Emergency contact address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Relation to Child*
Emergency Contact Cell Phone Number*
Authorized Pick-up Person - Other than parent or guardian
Name Cell Phone Number Relation to Child

Authorizations

I, the undersigned, represent and warrant to the Alden Montessori School, LLC (the "School") that I have legal custody of this child and do hereby give authorization to the School:

1. limited power to consent for emergency medical treatment to emergency personnel and transportation to the hospital;

2. to release my child to the designated emergency contact and pick-up persons listed on this application or provided to the office in writing;

3. for my child to use playground equipment, to participate in all school activities, and to be transported (Kindergarten and Elementary) and supervised by the operation's employees) to field trips, including, but not limited to; museums, symphony, theater, zoo, farms, library, public parks, ice-skating, roller skating, water play, and swimming pool (elementary).

4. to use my child's photograph in parent communication vehicles such as management programs, parent handbook, in-school flyers, monthly newsletters (may be handed out during tours), class Facebook pages (visible to class families only), the monitor in the lobby, etc.

Alden Montessori will ask for expressed written permission for use of my child's photograph for venues seen from outside the school such as advertising, main website, and social media before use.

5. to release a class list to families which includes parent address, phone number, and email for the purpose of communication with other families for playdates, birthday party invitations, etc.

I also acknowledge that the Alden Montessori Parent Handbook is available to me via the Alden Montessori website, a hardcopy is available to me in the office, and one will be given to me during the parent orientation before the completion of enrollment.
I, the undersigned, represent and warrant to the Alden Montessori School, LLC (the "School") that I have legal custody of this child and do hereby give authorization to the School: 1. limited power to consent for emergency medical treatment to emergency personnel and transportation to the hospital; 2. to release my child to the designated emergency contact and pick-up persons listed on this application or provided to the office in writing; 3. for my child to use playground equipment, to participate in all school activities, and to be transported (when age-appropriate and supervised by the operation's employees) to field trips, including, but not limited to; museums, symphony, theater, zoo, farms, library, public parks, ice-skating, roller skating, water play, and swimming. 4. to use my child's photograph in parent communication vehicles such as management programs, parent handbook, in-school flyers, newsletters, class Facebook pages (visible to class families only), Alden website gallery (visible to Alden parents only), the monitor in the lobby, etc. 5. to release a class list to families which includes parent address, phone number,and email for the purpose of communication with other families for playdates, birthday party invitations, etc. Alden Montessori will ask for expressed written permission for use of my child's photograph for venues seen from outside the school such as advertising, main website, and social media before use. I also acknowledge that the Alden Montessori Parent Handbook is available to me via the School website and a hardcopy is available to me in the office. A parent orientation will be given to me before the completion of enrollment.
Signature of parent/guardian
Date
Date Format: MM slash DD slash YYYY
Apply for another child ?*
- Yes
- No
When you click the submit button, it will redirect to the same form in order to submit the application for another child.
Phone
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Alden Montessori School, LLC

4010 Justin Road
Flower Mound, TX 75077
940-584-0400

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