Skip to toolbar

Log In
Hubbli Support

Search

lyndon

Just another Hubbli.com site

Login

Skip to content

Groups
Members
Forms
Calendar
Appointments
Arbor Montessori Pages
- 2014 Arbor Phoenix Cross Country Season
- Early Morning Care

lyndon

Application for Enrollment

Application for Enrollment

STUDENT INFORMATION
Name
First Middle Last
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Birth Date
Date Format: YYYY dash MM dash DD
Gender
- Male
- Female
Citizenship
Country of Birth
First language spoken at home
Second language?
Siblings? (Name & Birthdate)
PROGRAM REQUESTED
Program Lists
- Morning 5 day Preschool
- Afternoon 5 day Preschool
- Morning 4 day Preschool
- Afternoon 4 day Preschool
- Kindergarten
- Grade One
- Grade Two
- Grade Three
- Grade Four
- Grade Five
- Grade Six
- Grade Seven
Afternoon 4 day Preschool ( Day Available )
- Monday - Thursday
- Tuesday - Friday
PARENT/GUARDIAN INFORMATION
Name
First Last
Address
Street Address
Home Number
Cell Number
Work Number
Email
Parents are responsible for advising the school office of any changes to the above information during the school year.
Signature
Date Received
Date Format: MM slash DD slash YYYY

Enrollment Agreement
1. I/We will support any and all rules, operating principles, philosophies and policies put in place by Meadow

Montessori Elementary & Preschool, as outlined in the Parent Handbook.

2. I/We understand the Meadow Montessori School Society is a non-profit registered charity and its Constitution, full

governing Policies and By-laws are the regulatory foundation of the Parent Handbook and said documentation is

available for review.

3. I/We understand that the registration fee and month’s tuition deposit are non-refundable, as their purpose is to

confirm our child’s position in Meadow Montessori Elementary & Preschool for the full academic year.

4. In order to confirm a placement for our child, all required documentation and all required tuition fees must be

completed and submitted to the school office.

5. I/We agree that my/our obligation to pay the full year’s tuition is unconditional and is not subject to adjustment

for gradual entry, illness, absence, school closures in exceptional circumstances, or circumstances beyond the

control of the school.

6. I/We understand our payment plan and tuition fees for the school year.

7. I/We understand the Afterschool Program is for Kindergarten and Elementary students only and is not included in

the annual tuition fees; it is a separate program with an additional fee structure.

8. I/We understand that in the unfortunate event my/our child must be withdrawn due to exceptional circumstances

such as a move or job loss, 1 full calendar month notice prior to the withdrawal date must be given in writing or

one calendar month’s tuition payment, beyond the withdrawal date, will be given in lieu of notice.

9. I/We understand that the APPLICATION for ENROLLMENT is to be considered an application for registration unless

and until acceptance is confirmed by a written confirmation letter, as well as, payment of registration fee and

deposit.

10. I/We have read the terms of enrollment for Meadow Montessori Elementary & Preschool on this APPLICATION for

ENROLLMENT form and agree to the same.
Date
Date Format: MM slash DD slash YYYY
Parent/Guardian Signature
Date
Date Format: MM slash DD slash YYYY
Parent/Guardian Signature
PLEASE ENSURE THE FOLLOWING ITEMS HAVE BEEN INCLUDED WITH YOUR APPLICATION:
- Registration Fee
- All Tuition Fees & Deposit
- Birth Certificate Copy
- Medical Form
- Photo Authorization Form
- Recent Photo
- Pick-up Authorization
- Copy of Vaccination Record (Preschool)

AUTHORIZATION FOR PROMOTIONAL USE OF STUDENT PHOTOS, WORK, ACTIVITIES
During the school year Meadow Montessori Elementary & Preschool may publicize school events and activities. Your child may be involved in a school activity where photographs or video are taken to use in school promotions, school website materials, or media coverage. These events include:
- displaying student work through activities such as art projects, bulletin board displays and school newsletters;
- video of classroom activities, concerts and special events;
- photographing students at school trips and/or assemblies for media publications advertising the school;
- use of photographs for the school website;
- using photographs, names and anecdotes in school displays and publications;
- posting lists of names only inside the school for staff and parents;
- other publicity initiatives as may be required for school promotion.
Please note: These materials will not be used in any commercial fashion. Should the parents’ circumstances change during the school year, or should parents wish to revoke consent, a written statement revoking consent must be provided to the school.
Please indicate which option you choose for your child.
- I have read the information above, and provide permission for my child to be included in promotional materials for school as determined appropriate by the school.
- I do not wish to have my child included in promotional materials for the school.
Name of Student
First Last
Parent/Guardian Signature
Date
Date Format: MM slash DD slash YYYY

Medical Information
Health History of
First Last
Gender
Birth Date
Date Format: YYYY slash MM slash DD
Height
Weight
B.C Care Card #
Please comment on your child’s overall health:
If your child is not able to participate in certain school activities, please outline
Has your child ever had his/her eyes tested?
- Yes
- No
Result
Has your child ever had his/her hearing tested?
- Yes
- No
Result
Does your child have food allergies?
- Yes
- No
If yes, please list foods
Are your child’s allergies severe enough that he/she is considered anaphylactic?
- Yes
- No
Does your child have any other allergies or any other significant medical conditions?
- Yes
- No
Please describe
Does your child need to keep any medication at school for any medical condition?
Name of Physician:
First Last
Phone #
Address
Street Address
Name
Please provide the name and number of an emergency contact, when parents/guardians cannot be reached:
First Last
Relationship
Address
Street Address
Home Phone #
Cell/Work #
Parent Consent

In case of emergency resulting from an accident or illness where prompt medical attention is deemed necessary, and the parents/guardians cannot be immediately contacted, permission is hereby given to take the above mentioned child to the nearest medical facility and to proceed with medical treatment. I understand that any medical expenses incurred for such treatment are my responsibility.
Date
Date Format: MM slash DD slash YYYY
Signature of Parent/Guardian

PICK-UP AUTHORIZATION
Name
First Last
The following persons are authorized to pick-up (take home) the above named child when I, a parent/guardian cannot. They have been informed that they may have to show identification until they are known by the staff team as this is to ensure the safety of my child.
Name
First Last
Relationship to child:
Home Phone #
Cell Phone #:
Name
First Last
Relationship to child:
Home Phone #
Cell Phone #:
Persons NOT authorized to pick-up child:
Name
First Last
Relationship to child:
Name
First Last
Relationship to child:
I understand that if I wish to add people to this list throughout the year that I must do it in writing. I can make a quick phone call to a staff member that knows me, but I must follow up with a written memo/email
Parent/Guardian Signature
Date
Date Format: MM slash DD slash YYYY

Copyright © 2026 lyndon · Designed by BuddyBoss

@

Not recently active