Online Enrollment

*(denotes required field)

First Name: *

Last Name: *

E-Mail Address: *

Child's Information

Name *

Home Address: *

City: *

State: *

Zip: *

Home Phone: *

Date of Birth: *

Parent or Guardian Information

Parent #1

Name: *

Address (if different from child):

Employer: *

Contact Phone: *

E-mail: *

Parent or Guardian Information

Parent #2

Name: *

Address (if different from child):

Employer: *

Contact Phone *

E-mail: *

Enrollment Options

Harmony Montessori offers both a 5 day a week and a 4 day a week option. Please see the program choices offered below in either Enrollment Option.

I am enrolling my child for the following schedule:

5 day a week Enrollment Options:

8-hour schedule: with up to 1.5 hours early or late care - $8650.00
8:30 am – 3:00 pm: 6.5-hour Extended Day- $7600.00
8:30 am – 1:00 pm: Includes lunch hour- $6000.00
8:30 am – 12:00 am: 3.5-hour morning class- $5200.00

4 day a week Enrollment Options:

8-hour schedule: with up to 1.5 hours early or late care - $7900.00
8:30 am – 3:00 pm: 6.5-hour Extended Day - $7050.00
8:30 am – 1:00 pm: Includes lunch hour- $5500.00
8:30 am – 12:00 am: 3.5-hour morning class- $4850.00

4 day a week program requested day off

Monday
Friday

Approximate Start Date:

*

EARLY AND LATE CARE OPTIONS I PLAN TO USE:

I understand that we pay only for the extra hours we use, and that care beyond the child’s basic enrollment schedule will be billed at $6.00/hr.

This section gives HMS a general idea of what to expect, and is not a commitment.

7:30 to 8:30 AM:

Daily
Occasionally
Rarely

After 3:00 PM:

Daily
Occasionally
Rarely

Additional comments about enrollment selection

Applications will be processed on the date we receive them. We give priority to siblings of existing families and children with prior Montessori experience.

Some applications may be placed on a wait list depending upon our available spaces. If this is the case we will notify families in writing of their wait list status along with their position on the wait list.

Would you prefer to receive your invoices via mail or e-mail?

Mail
Email

I understand that a $100 application fee is due with my application

*

I will mail $100
I will bring $100 in person.

Mailing Address:

Harmony Montessori School
P.O. Box 16695
Portland, OR 97292

Please acknowledge the statements below by checking the box next to each statement.

*

I understand that this application fee is non-refundable.
I understand that a $200 tuition deposit will be due with in one week of an enrollment offer.
I understand that this tuition deposit will be applied towards the first month's tuition payment in August.

The annual tuition is divided into 10 monthly payments and subsequent payments will be due the first of each month, September through May.

How did you hear about Harmony Montessori School:

*

Word of Mouth
Google Search
Urban Mamas
Metro Parent
On-line Ad
Other

If other please share:

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