Application for Admission Hello! Use this form to apply for admission, and we’ll review your application and get back to you as quickly as possible. Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.12345678Child InformationChild's Full Name: *FirstMiddleLastChild's Preferred Name: *FirstMiddleLastDate of Birth: *Gender: *--- Select Choice ---MaleFemaleRace: *--- Select Choice ---Aboriginal PeoplesAmerican Indian or Alaska NativeBlack or African AmericanWhiteChineseFilipinoAsian IndianVietnameseKoreanJapaneseOther AsianMiddle Eastern or North AfricanNative HawaiianSamoanChamorroOther Pacific IslanderSome Other RaceEthnicity: *--- Select Choice ---Hispanic, Latino or Spanish OriginNot of Hispanic, Latino or Spanish OriginHome Address: *Address Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePrimary Language Spoken at Home:Secondary Languages (optional):Program Applying For (select one): *--- Select Choice ---Toddler Community (2-3)Primary Community (3-6)Elementary Community (6-9)Academic Schedule: *--- Select Choice ---Three Mornings (*Kindergarten & Elementary Not Applicable)Three School Days (*Kindergarten & Elementary Not Applicable)Five Mornings (*Kindergarten & Elementary Not Applicable)Five School DaysUndecidedExtended Programs: *--- Select Choice ---Before Care (7:00am - 8:30am)After Care (3:00pm - 6:00pm)Holiday Care (Winter Break & Spring Break)NoneHas your child been to school before? *--- Select Choice ---YesNoWas it a Montessori school?YesNoDesired Start Date:Sibling:YesNoSibling Name:NextEnrollment StandardsThe 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 (please check all boxes): *1. fits within the academic curriculum, emotional maturity, and physical size range for the class2. is able to work with an appropriate measure of independence3. meets the respectful behavior standards of the school4. is not frequently or unusually disruptive5. does not require substantially more than his/her fair share of the teacher's attentionParent Signature: * Clear Signature PreviousNextParent/Guardian InformationParent/Guardian: *FirstLastRelationship to Child: *Cell Phone: *Work Phone:Email: *Home Address (if different from child's):Address Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeEmployer:Occupation:Add a second parent/guardian?YesNoParent/Guardian: *FirstLastRelationship to Child: *Cell Phone: *Work Phone:Email: *Home Address (if different from child's): Address Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeEmployer: Occupation: Child Primarily Lives With: *--- Select Choice ---Both ParentsMotherFatherGuardianAre Custody Documents Provided? *--- Select Choice ---YesNoNot ApplicableCustody Documents (File Upload - if applicable): Drag & Drop Files, Choose Files to Upload PreviousNextEmergency Contacts / Authorized Pick-upEmergency Contact Name: *FirstLastMust be non-parent in case parent/guardian cannot be reached. Child warrant every Relationship to Child:Phone: *Address *Address Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeAuthorized for Pickup: *YesNoAuthorized Pick-up Person: FirstLastMust be non-parentRelationship to Child: Phone:Authorized for Pickup: YesNoAuthorized Pick-up Person: FirstLastMust be non-parentRelationship to Child: Phone: Authorized for Pickup: YesNoPreviousNextMedical InformationChild's Physician: *Physician Address: *Address Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePhysician Phone: *Preferred Hospital: **In an emergency situation, closest hospital will be chosen.Hospital Address: *Address Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeHospital Phone: *Allergies: *Food, Medication, EnvironmentalSeverity of Allergies: *--- Select Choice ---NoneMild (No Action Required)Moderate (Benadryl)Severe (Epi-Pen)Dietary Restrictions: *--- Select Choice ---Non-restricted dietNon-restricted diet (except allergies)VeganVegetarian but allows eggsVegetarian but allows eggs and dairyOngoing Medical Conditions:Medications Taken Regularly:Immunization Documentation: *--- Select Choice ---Immunization record providedExemption affidavit providedRecords on file at public schoolImmunization Document Upload Drag & Drop Files, Choose Files to Upload Health Statement Document Upload Drag & Drop Files, Choose Files to Upload *This required document will come from your physician on their letter head. It should state they have been seen in their office, are free from disease and illness, and are well and able to attend school.*PreviousNextMontessori Program InformationHow did you learn about Alden Montessori School?Why are you interested in Montessori education for your child?Tell us about your child (interests, strengths, areas of support, social/emotional notes):Daily routines (sleep habits, eating preferences, comfort items, toilet learning status if applicable):Family values & educational priorities (qualities you hope your child develops):Anything else we should know?PreviousNextParent AcknowledgementsApply Sunscreen to Your Child in After School Care? *--- Select Choice ---YesNoSunscreen must be provided by parent and labeled with child's name.The parent/guardian acknowledges that in the event of a rising high fever, the school will make every effort to contact. However, if you cannot be reached and the 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. Clear Signature Please sign on the above line.PreviousNextRequired AuthorizationsRequired by Texas Child Care LicensingAuthorizations - 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: *limited power to consent for emergency medical treatment to emergency personnel and transportation to the hospital;to release my child to the designated emergency contact and pick-up persons listed on this application or provided to the office in writing;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, theatre, zoo, farms, library, public parks, ice-skating, roller skating, water play, grocery store, and swimming;to use my child's photograph in parent communication vehicles such as management programs, in-school flyers, private classroom Facebook pages (visible to active class families only), and the monitor in the lobby;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.*Please check all boxesParent Signature: * Clear Signature Parent Name: *FirstLastDate: *PreviousSubmit