Palisades Montessori Afterschool Program Application Form

Page 1

Welcome to Palisades Montessori's online application!

Applications for the Palisades Montessori Afterschool Program are accepted online via our secure application form on a rolling basis. Your child must be attending PreK through Second Grade to join the Afterschool Program. You may apply at any time, and we encourage you to apply early. Once you submit an application, your family will be added to our waiting list. Within seven business days of your submission, you will receive an invoice for the $100 application fee.

We look forward to welcoming your family to our community!

GENERAL INFORMATION

Child's Last Name

Child's First Name

Child's Birth Date

Child's Gender

Select your preferred enrollment time (*check all that apply):

2024-2025 School Year
2025-2026 School Year
Other

Please select a preferred program schedule (*Note: Preference is given to five-day schedules):

Five afternoons per week
Three afternoons per week
Two afternoons per week

If you selected "Other," please tell us the month and year that you would like to join our Afterschool Program.

School that your child will attend during their time of enrollment at Palisades Montessori's Afterschool Program:

Any special needs you would like to discuss with our teachers?

How did you hear about Palisades Montessori?

Page 2

CONTACT INFORMATION

Primary Parent/Guardian

First Name

Last Name

Mobile Phone

Home Phone

Work Phone

Email Address (Primary)

Other Parent/Guardian

First Name

Last Name

Mobile Phone

Home Phone

Work Phone

Email Address

Please provide a mailing address for school communications:

Address Line 1

Address Line 2

City

State

Zip Code

Thank You!

A $100.00 application fee is due upon receipt of this application in order for your family to be added to Palisades Montessori's waiting list for admission. Upon submission, you will receive an invoice from our bookkeeping team by email.

Contact Information