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Application for Enrollment

☐ 2021-2022
Early Care ( 8:00 - 9:00 am) and/or After Care (4:00 - 5:00 pm) may be added to any regular school-year program for an additional fee. Early and After Care not available during the summer.
☐ 5 Extended Days (8:00 am - 5:00 pm)
☐ 4 Extended Days (8:00 am - 5:00 pm)
☐ 5 Full Days (9:00 am - 4:00 pm)
☐ 4 Full Days (9:00 am - 4:00 pm)
☐ Summer Program: All 4 Weeks (Monday - Friday from 9:00 am - 3:00 pm)
☐ Summer Program: Week 1 (Tuesday - Friday from 9:00 am - 3:00 pm)
☐ Summer Program: Week 2 (Monday - Friday from 9:00 am - 3:00 pm)
☐ Summer Program: Week 3 (Monday - Friday from 9:00 am - 3:00 pm)
☐ Summer Program: Week 4 (Monday - Friday from 9:00 am - 3:00 pm)

Your Child

☐ Female
☐ Male
☐ Cits:

Parent / Legal Guardian 1 (Main Point of Contact)

Parent / Legal Guardian 2

It is important for us to understand the backgrounds of the families we seek to serve. Please share as openly as you are comfortable, for the home that the child spends the majority of their time in. Thank you.

What is the language most often spoken in your household? If none of the options below are descriptive, please select "other" for a freeform option.
☐ Arabic
☐ Armenian
☐ Bantu (including Swahili)
☐ Begali
☐ Burmese
☐ Cantonese
☐ English
☐ French
☐ German
☐ Greek
☐ Haitian - Creole
☐ Hebrew
☐ Hindi
☐ Hmong
☐ Italian
☐ Japanese
☐ Korean
☐ Mandarin
☐ Persian
☐ Polish
☐ Portuguese
☐ Punjabi
☐ Russian
☐ Spanish
☐ Tagalog
☐ Urdu
☐ Vietnamese
☐ Urdu
☐ Cits:
Select one or more of the options below which you feel best describe your child. If none of the options are descriptive, please select "other" for a freeform option.

Non-Discrimination Policy

Birch Tree Montessori School is a nonprofit organization and admits students of any race, color, gender, sexual orientation, disability, nationality, and ethnic origin to all the rights, privileges, programs, and activities generally accorded or made available to students at the school. The school does not discriminate on the basis of race, color, gender, sexual orientation, disability, nationality or ethnic origin in administration of the educational policies, admissions policies, scholarship programs, and other school-administered programs. No child shall be excluded from participation due to toileting needs.