Heartland Montessori School Enrollment Application

Clear Form

School Year*

Program*

☐ Toddler Community Half Day, 4 days, 8:30-11:30 am

☐ Toddler Community Half Day, M-F, 8:30-11:30 am

☐ Toddler Community Half Day plus three afternoons

☐ Toddler Community Half Day plus four afternoons

☐ Toddler Community Full Day, M-F 8:30 am-3:00 pm

☐ Children's House Half Day, M-F 8:30-11:30 am

☐ Children's House Full Day, M-F 8:30 am-3:00 pm

☐ Children's House Leadership Year, M-F 8:30 am-3:00 pm

Toddler Community Schedule DetailIf you chose 4 half days or fewer than 5 afternoons, please provide details about your preferred schedule.

Child

Name *

Birthdate*

Child Gender

Parent/Guardian #1

Parent/Guardian #1 Name *

Parent/Guardian #1 Address*

Home Number

Mobile Number*

Work Number

Email*

Parent/Guardian #2

Parent/Guardian #2 Name

Parent/Guardian #2 Address

Home Number

Mobile Number

Work Number

Parent/Guardian #2 Email

Background information

How did you hear about us?*

On what date would you like your child to begin attending Heartland?*

Previous Schools*Has your child been in a child care or school setting before? Please describe the experience.

Why have you chosen a Montessori education for your child(ren)?*

In what ways do you expect your child to benefit by attending Heartland Montessori School?*

Parent Involvement*Heartland appreciates and encourages family involvement in our community. How do you envision your family’s contribution to the school community?

Continued Enrollment*Do you intend to enroll your child(ren) at Heartland through the Leadership (Kindergarten) Year? Why or why not?

Before and After School CarePlease indicate your likely need for Before and After Care, if any:

Before School Care (7:30-8:30 am)

After School Care (3:00-5:30 pm)

Today's Date*

Please send a non-refundable $50 application fee to:
Heartland Montessori School, N8226 945th Street, River Falls, WI 54022

You can also pay electronically via PayPal at https://www.paypal.com/donate?hosted_button_id=PQF6LVSDHDS8L. If paying electronically, please include a three percent transaction fee for a total of $51.50.

Non-Discrimination Policy

We value diversity among our students. We do not discriminate in our enrollment policies on the basis of race, color, gender, religion, sexual orientation, national or ethnic origin.