Preschool Application and Enrollment Contract

Clear Form

THE WOODS admits students of any race, religion, creed, color, and national or ethnic origin. The records of all students are confidential and are available to parents or guardians by request. Requests for records will only be released to other parties upon signed request from the parent or guardian, and only after all accounts are paid in full.

Session*

Requested Start Date*

Child

Child Name *

Name Child Regularly Uses

Child Gender*

Date of Birth (or Due Date)*

Program*

☐ Toddler House: Half Day (20 months - 3 years | 8:15am - 12:00 pm)

☐ Toddler House: Full Day (20 months - 3 years | 7:00am - 6:00 pm))

☐ Children's House: Half Day (3-6 years old | 8:15am - 12:00 pm)

☐ Children's House: Full Day (3-6 years old | 7:00am - 6:00 pm)

☐ School Day (5-6 years old only | 8:15am - 3:00 pm)

Parent 1

Name *

Address*

Home Number

Mobile Number*

Work Number

Parent 1 Primary Email*

Parent 1 Occupation

Parent 1 Employer

Parent 2

Name *

Address*

Home Number

Mobile Number*

Work Number

Parent 2 Primary Email *

Parent 2 Occupation

Parent 2 Employer

Child's Address*My child lives with:

Parent 1

Parent 2

Both

Other:

Background information

Please list the names and ages of any siblings.

Please tell us what appeals to you about a Montessori Program?*

How did you hear about The Woods?*

Please Introduce Us To Your Child

Please describe your child's personality and interests.*

What language(s) does your child speak at home?*

Is you child toilet trained?*

Yes

Previous SchoolsPlease list the name of any schools, daycares or other childcare programs your child has attended and the years they have attended.

Has your child ever been suspended, expelled, or in any other way asked to leave a childcare program?*

Yes

If Yes, Please Explain.

Please list any FOOD and MEDICAL allergies that your child has**Please put N/A if no allergies

Notes*Please put N/A if no restrictions

*An additional Allergy Action Plan will need to be completed for any child with allergies. If medication is required at school a separate Medication Authorization Form must be completed.

Please describe your child's overall health. Please list any medical condition(s) and any other pertinent information you would like us to be aware of concerning your child.*

Does your child nap?**Please note that the Commonwealth of Virginia requires all children under the age of 5 in a full day program to rest for at least 30 minutes every day.

Yes

If yes, how many times per day and generally at what time(s)?

How do you discipline your child and what is your child's reaction?*

Agreement Contract

Indicating yes on the following statements and/or questions is akin to signing and agreeing. The application will not be processed unless all statements and/or questions have been made in the affirmative.

Proof of Identity Verification*Virginia Department of Social Services requires that schools verify the identity of all children enrolled in our program. This is to assist with the identification of missing children and to verify the age of each student. Acceptable forms of identification include your child’s birth certificate, passport, certified notification of birth from a hospital, physician or midwife, or adoption/foster placement agreements. All documents presented must be ORIGINAL and will be documented and returned to you immediately. Identity Verification must be completed upon enrollment and no later than your child’s first day of school.

Yes

Virginia School Entrance Form*All students are required to submit a Virginia School Entrance Health Form that is signed and dated by a physician. Your child’s physician must certify that your child is up to date on his or her immunizations or certify that your child is medically or religiously exempt form immunization requirements. If applicable, the Virginia Form for Religious Exemption must be notarized and accompany your child’s Health Form. The Health Form must be submitted prior to your child’s first day of school. Additionally, an updated Health Form must be submitted between your child’s 4th and 6th birthdays to reflect updated immunizations.

Yes

Parent Handbook Acknowledgement*

I have received THE WOODS’ Parent Handbook (available at www.woodsmontessori.com). I understand and agree to abide by the policies, procedures, rules and regulations set forth in the Handbook for the academic period in which I am enrolling my child and all future academic periods to include any subsequent Parent Handbook changes. The policies set forth are to protect and ensure your child’s safety. Understanding and complying with the Handbook will help to make your school experience more enjoyable and seamless.

School Directory*I acknowledge that my child’s name, as well as my name will be listed in my child’s classroom directory which is only accessible through a secure login via the school’s online platform.

Yes

Media Release and Photographs*I acknowledge that my child’s photograph may be taken within school events for use within the school community (e.g., bulletin boards, newsletters, private online portal, etc.). Additionally, I acknowledge that my child’s photograph may be taken and used in publications, videos, social media, and other mediums for public use associated with THE WOODS. Names of children will not be released without additional parental consent.

Yes

S.M.S. (Text) Alerts*I understand that THE WOODS sends SMS (TEXT) Alerts out to all families who have listed a cell phone number. This message is sent via School Messenger and it is the family’s obligation to opt in or out of the messaging service. I agree to abide by the terms and conditions of my cellular provider and am 100% responsible for any charges incurred by my cellular provider for receiving any SMS (TEXT) alerts sent by THE WOODS.

Yes

Email Messages*I understand that THE WOODS routinely sends email messages out to all families who have listed an email address. These messages are sent through a variety of platforms and it is the families’ obligation to opt in or out of the messaging services. I agree to abide by the terms and conditions of my email provider and am 100% responsible for any incidents associated with receiving any email messages sent by THE WOODS.

Yes

Field Trips*I hereby give permission for my child to be transported via bus* to and from field trips away from the school grounds, unless the school receives written notice from me to the contrary. Additionally, I hereby give my permission for my child to be transported to the field trips by a licensed and insured driver. I understand that when my child is transported in the car, the driver will follow all safety precautions, including the use of seat belts. I will provide a child safety seat as required by Virginia Law. *Please note that Virginia law does NOT require safety seats on the school bus*

Yes

Pick Up Authorization*I understand that for any individual, other than the parents listed on application, to have approval to pick up my child from school I must complete a Pick Up Authorization Form. This form will be provided before my child’s first day of school. All individuals picking up children will be required to present ID. Pick up authorizations will not be approved by telephone.

Yes

Pick Up RestrictionThe individuals listed below are restricted from picking up my child. Please provide appropriate legal documentation, if applicable.

Custody Agreement*If there is a custody agreement (or one is subsequently agreed to) for my child, I agree to provide a copy to the school prior to the first day of school. I also agree that if any subsequent agreement were to be made, it will be provided to the school immediately.

Yes

Toileting Agreement*I give my permission to The Woods, A Montessori School and their teachers to help clean my child if they have any toileting accident. Children’s House teachers will only intervene at the request of the child or when it is visibly apparent that the child is unable to clean him or herself completely.

Yes

Inclement Weather Policy*I understand that at times the school must be closed due to inclement weather and other emergencies. THE WOODS does not possess the resources or technology to determine widespread weather conditions. Additionally, the school must ensure property conditions are safe for students and faculty and that we can be fully staffed to provide care for your children. Therefore, THE WOODS follows PRINCE WILLIAM COUNTY PUBLIC SCHOOLS for school closings, delays, and early closings due to precipitation. Please consult the Parent Handbook for further information. THE WOODS makes every attempt to make up any snow days as determined by PRINCE WILLIAM COUNTY PUBLIC SCHOOLS. However, the school year will not be extended in any way.

Yes

Audio and Video Surveillance*I understand THE WOODS utilizes audio and/or video surveillance within the school and its grounds. I understand that my child and anyone else I bring onto the premises may be recorded. Furthermore, I consent to this surveillance. I understand that the recordings are on a private system and only the Administration of THE WOODS have access to the recordings. Any parent at any time can view the recordings under the supervision of an Administrator.

Yes

Community Health Agreement

I understand that my child is joining a school community that, in addition to my child, consists of other students, teachers, and family members of students and faculty. THE WOODS works very hard to protect the health of all members of our community and reserves the right to send ill children home at the discretion of the School Administration, each of whom has completed the Virginia Daily Health Observation Training. However, these individuals, while trained to identify potential illness, are not medical personnel and cannot diagnose illnesses. Indicating yes on the following statements and/or questions is akin to signing and agreeing. The application will not be processed unless all statements and/or questions have been made in the affirmative. Therefore, I agree to the following:

To pick up my child immediately upon receiving notification of my child's suspected illness. If children are not picked up within an hour of notification, I understand that the school will have to report to the appropriate state authorities.*

Yes

To notify the school within 24 hours if my student or any immediate family member is diagnosed with a communicable disease. In the event of a death, due to a communicable disease, I will notify the school immediately.*

Yes

That an anonymous notification of a communicable illness reported by my family will be posted for the school community to see.*

Yes

To provide a doctor's note, when required, for my child to re-enter school or to keep my child home from school until he or she has been entirely symptom free for a full 24 hours, without the help of medication.*

Yes

Terms and Conditions of Enrollment

Indicating yes on the following statements is akin to signing and agreeing. The application will not be processed unless all statements have been made in the affirmative.

Academic tuition fees are annual, but may be paid in monthly installments from July to April.*

Yes

All required paperwork must be turned in before the 1st of August prior to the start of school. Your child may not attend until all paperwork is received.*

Yes

This contract is automatically renewable each year with re-registration of your child.*

Yes

Students are considered enrolled for the entire year. 30 days written notice must be given of intent to withdraw. Verbal notice is not accepted.*

Yes

Upon withdrawal, refunds will be issued, if applicable, on a prorated basis determined by weeks enrolled. NO REFUNDS OF DISCOUNTS ARE GIVEN FOR ABSENTEEISM.*

Yes

THE WOODS reserves the right to dismiss a child without notice at the sole discretion of the Head of School.*

Yes

Classroom assignments are made at the discretion of the School Administration. While parents may make requests at the time of the application, THE WOODS is under no obligation to honor such requests. Classroom assignments are not finalized until August (after the first tuition payment is received).*

Yes

House Transitions are done at the beginning of Summer Camp or a new school year. Mid-year transitions are extremely rare and are the discretion of the Head of School, if space is available at the next House level.*

Yes

THE WOODS reserves the right to charge a fee for any changes of contract including switching from Full Day to Half Day or vice versa.*

Yes

All tuition payments will be made online through a service called FACTS.*

Yes

FACTS requires a $40.00 registration fee each year.*

Yes

All tuition payments are due on the 1st of every month. They are considered late after that and if there are insufficient funds in your account FACTS will charge you a fee. Failure to make a payment will result in the immediate dismissal of your child from the school. Note: FACTS withdraws the tuition from your account on or about the 25th of the preceding month (e.g. July 25th for August 1st).*

Yes

Tuition rates may change at any time. 30 days written notice will be provided to parents.*

Yes

Tuition rates for your child will be determined by his or her age on the first day of school and will remain at that rate for the entire school year. Classroom placement is based on your child's age prior to September 30. A transition to another level (i.e. Toddler to Children's House) will not result in a tuition rate change until the following school year.*

Yes

Accounts payable are assigned to the child and the parents listed on this application; they are considered the responsible party. In the event a third party will be responsible for tuition, written notice must be given to the school office. Otherwise, refunds, credits, late fees, etc., will be charged to the individual listed as parents on this contract.*

Yes

A $100.00 application fee must accompany this application and is not refundable under any circumstance.*

Yes

Upon notification of acceptance, a non-refundable tuition deposit of $250.00 is due immediately via FACTS for the CHILDREN'S HOUSE. Enrollment is not guaranteed until receipt of the tuition deposit. The amount of tuition deposit due is subject to change at the discretion of the school at any time. Advance notice will be given, if possible.*Agreement required regardless of program choice

Yes

Upon notification of acceptance, a non-refundable tuition deposit of $500.00 is due immediately via FACTS for the TODDLER HOUSE. Enrollment is not guaranteed until receipt of the tuition deposit. The amount of tuition deposit due is subject to change at the discretion of the school at any time. Advance notice will be given, if possible.*Agreement required regardless of program choice.

Yes

$250 of the tuition deposit may be carried over from year to year and is non-refundable if your child does not complete their kindergarten year at THE WOODS. All other amounts will be applied to the last tuition payment of the school year in May. If a student does not complete the school year then the complete amount of the deposit is forfeited. Upon completion of the kindergarten year at THE WOODS, the $250 deposit will be refunded in its entirety if no outstanding debts are owed.*

Yes

Legal

A breach of the Enrollment Contract or Parent Handbook ('Agreement') by the responsible parties (child's parents) entitles THE WOODS to pursue any remedy available to it whether at law or in equity, including an action for damages or specific performance of the terms of this Agreement, and as the breaching party, you shall pay the costs incurred by THE WOODS for enforcing this Agreement or of collection of late payments, including the payment of reasonable attorneys' fees, legal expenses, and court costs. No term, provision, or breach of this Agreement shall be deemed waived by THE WOODS unless such waiver is in writing and signed by THE WOODS. Any waiver, whether express or implied, shall not constitute a waiver of any different or subsequent term, condition, or breach. Further, you agree to indemnify, defend and hold THE WOODS, its owners, officers, and directors harmless from any and all liabilities, claims or demands (including the costs, expenses, and attorneys' fees on account thereof) arising out of any defamatory statements by the responsible parties.*

Yes, I agree

Submission Agreement

By submitting this application (pressing the submit button) and digitally signing below (entering your name(s)), we as the responsible parties of the applicant, fully agree to all items listed herein and any policies set forth by The WOODS, A Montessori School including but not limited to any future policy changes made at THE WOODS’ discretion.

Please note that you must have express consent to sign on behalf of another parent or guardian. THE WOODS is not held liable for failure to obtain such consent.

Parent 1 Digital Signature *

Parent 2 Digital Signature *