Mountainside Montessori Enrollment Contract - Mount Helena Classroom Mountainside Montessori - MH Registration and Contract Early Childhood Program - Mount Helena Room 2024-2025 School YearThis document serves as the registration for the below-named child and the contract between Mountainside Montessori and the Parent/Guardian of the below-named child. To complete the enrollment process please read, complete, and sign this contract and submit it using the button at the bottom of the form. There is a one-time registration fee of $100.00 for all new families enrolling at Mountainside Montessori. If you are a new family please submit the $100.00 along with this form. This form is due by March 23, 2024.Do you currently or have you previously had a child enrolled at Mountainside Montessori? Yes No Name of Child(Required) First Last Birth Date(Required) MM slash DD slash YYYY Parent #1 InformationName(Required) First Last Phone(Required)Alternate PhoneEmail(Required) Employer(Required)Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Parent #2 InformationName First Last PhoneAlternate PhoneEmail Employer Address same as Parent #1 Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Contact ListNamePhoneRelationshipEmergency Contact? (Y/N)Pick Up Permission? (Y/N) Add RemovePlease list below any contacts or authorized persons to pick up your child. Please note the name, phone number, relationship to the child, whether they're an emergency contact, and whether they have permission to pick up your child. Press the "+" button to add more rows. If more than 5 individuals need to be included, please email the school. PermissionsI give permission for the release of our family’s name, address, and phone number to other Mountainside Montessori families in the school directory. Contact information consentI give permission for the release of our family’s name, address, and phone number to other Mountainside Montessori families in the school directory.I give permission for Mountainside Montessori to take photos of my child for the purpose of sharing with our family. Photo consent - PrivateI give permission for Mountainside Montessori to take photos of my child for the purpose of sharing with our family.I give permission for Mountainside Montessori to use photos of my child for the purpose of publications and public relations. Photo consent - PublicI give permission for Mountainside Montessori to use photos of my child for the purpose of publications and public relations.I give permission for Mountainside Montessori to escort my child on outings away from campus during the school year. Outings consentI give permission for Mountainside Montessori to escort my child on outings away from campus during the school year.Enrollment OptionsPlease select your payment frequency below for your child's tuition. The Mount Helena classroom is a program operating from 8:30am-2:30pm on Tuesdays, Wednesdays, and Thursdays each week. All rates are listed with the payment frequencies below. Please select your payment frequency(Required) One-Time Payment - $7,575 9 Monthly Payments - $845 10 Monthly Payments - $760 Academic Year Contract(Required) I agree to the terms listed below.Parent/Guardian agree to pay the full tuition for the 2024-2025 academic year. Payment can be made in a one-time payment or in 9 or 10 monthly installments, based on the selection above. The 9-month payment option will run from September to May. The 10-month payment option will run from September to June. Children are enrolled for the whole school year unless one month’s written notice is given to the school's director. Parent/Guardian agrees that tuition is due by the 1st of each month. Invoices will be sent out electronically on the 25th. There will be a 10% late fee charged if payment is received after the 5th of the month and prior arrangements have not been made with the school. Families who are more than one-month overdue in tuition and have not made prior arrangements will be asked to keep their children out of school until their tuition is up-to-date, or dismissal may be necessary. In the event a student causes damage to school property or school materials, Parent/Guardian must reimburse Mountainside Montessori for replacement or repair to said destroyed property, whichever Mountainside Montessori deems appropriate. Parent/Guardian agrees to pick up children at the agreed time. If Parent/Guardian picks up children after our agreed pick-up time, Parent/Guardian understands that they may be assessed an additional per occurrence fee for late pickup, and repeated late pickups could result in dismissal from the school. Parent/Guardian agrees to have child/ren who are enrolled with Mountainside Montessori immunized in accordance with the schedules adopted by the Montana Department of Public Health and Human Services, and will provide proof of such, signed by a physician. Parent/Guardian agrees to have child/ren who are enrolled with Mountainside Montessori covered by health insurance. Parent/Guardian agrees to abide by the terms, conditions, and policies of Mountainside Montessori as outlined in this document. CAPTCHASignature