Child's Information

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Gender *
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Is your child returning to Fountainhead Montessori (previously enrolled)? *
Does your child have a sibling currently enrolled at Fountainhead? *
Please select a campus *

Toddler/Prep Class (18 months - 2.5 years)

Toddler/Prep (18 months - 2.5 years)

Primary Class (2.5 years - 6 years)

Please select the days for the class times you would like your child to attend.
Choose any schedule of two (2) or more days days per week. Please note 4 day schedules are not available.
Please select the days for the class times you would like your child to attend.
Choose any schedule of three (3) or five (5) days per week.
Before and after care is available from 7:00 am to 9:00 am and 12:00 pm to 6:00 pm
Before and after care is available from 7:00 am to 9:00 am and 12:00 pm to 6:00 pm
Before and after care is available from 7:00 am to 9:00 am and 12:00 pm to 6:00 pm
Before and after care will be available from 7:00 am to 9:00 am and 12:00 pm to 6:00 pm
Schedule Options *
AM: 9:00 am - 12:00 pm NOT *
AM: 9:00 am - 12:00 pm DAN  *
AM: 9:00 am - 12:00 pm LIV *
AM: 9:00 am - 12:00 pm ORI *
AM: 9:00 am - 12:00 pm PHIL *
Select format of PM Primary class *
NOTE: Immersion programs are 5 days per week.
PM Primary: 1:00 pm - 4:00 pm LIV *
Select format of PM Primary class *
NOTE: Immersion programs are 5 days per week.
PM Primary: 1:00 pm - 4:00 pm DAN1 *
Select format of PM Primary class *
NOTE: Immersion programs are 5 days per week.
PM Primary: 1:00 pm - 4:00 pm ORI1 *
PM Primary: 1:00 pm - 4:00 pm ORI2
Select format of PM Primary class *
NOTE: Immersion programs are 5 days per week.
PM Primary: 1:00 pm - 4:00 pm PHIL1 *

Allergies, Medical Concerns, or Special Needs

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Allergies or Medical Conditions Confirmation *

Primary Parent/Guardian Information

Most communications are via email only.  Your email will be used for only FMS communications.

Secondary Parent/Guardian Information

Most communications are via email only.  Your email will be used for only FMS communications.

Payment Information

If your desired schedule is available, your first month’s tuition will be collected using the account information you enter below.
 
If you are looking to be placed on our wait-list for a future start date, select 'Waitlist' under payment type, below.  Tuition will be collected after we confirm your start date. There is no charge to be placed on our wait-list.

Payment Type: Credit Card
Please enter credit card information:
Type of Card *
Payment Type: ACH
Please Note that we only accept checking accounts
Please enter ACH information:

Agreement

1. I agree to pay, when due, fees specified in Fountainhead’s School Year Financial Information, a copy of which I acknowledge having received. Subject to the provisions of paragraph 2 below, in the event I wish to withdraw my child from school, I will give thirty (30) day’s written advance notice or pay thirty (30) day’s tuition.
1. I agree to pay, when due, fees specified in Fountainhead’s School Year Financial Information, a copy of which I acknowledge having received. Subject to the provisions of paragraph 2 below, in the event I wish to withdraw my child from school, I will give thirty (30) day’s written advance notice or pay thirty (30) day’s tuition.
1. I agree to pay, when due, fees specified in Fountainhead’s School Year Financial Information, a copy of which I acknowledge having received. Subject to the provisions of paragraph 2 below, in the event I wish to withdraw my child from school, I will give thirty (30) day’s written advance notice or pay thirty (30) day’s tuition.
1. I agree to pay, when due, fees specified in Fountainhead’s School Year Financial Information, a copy of which I acknowledge having received. Subject to the provisions of paragraph 2 below, in the event I wish to withdraw my child from school, I will give thirty (30) day’s written advance notice or pay thirty (30) day’s tuition.
2. WITHDRAWALS ARE NOT ALLOWED AFTER JULY 1st unless you pay tuition through mid-August (the academic year).
 
3. YOUR FIRST INSTALLMENT IS NON-REFUNDABLE unless Fountainhead cannot accommodate your child. It will be applied to your first installment charges and must accompany this application. Your selected start date is a firm date. Your tuition will not be prorated due to incomplete paperwork or for any other reason.
5. A confirmation of your application and additional paperwork will be sent to you. If you do not receive it, it is your obligation to contact Fountainhead promptly.
 
Use mouse (or finger - if on a touch screen) to sign.
Signature of Parent/Guardian *
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