SUMMER SESSION SIGN-UP FORM- DUE BY APRIL 26TH
In Session June 3rd - August 2nd
8:00 AM - 3:00 PM

Extended Care: 7:00 AM - 8:00 AM & 3:00 PM - 6:00 PM

Location: Azalea City Montessori
1260 Dauphin Street
Mobile, AL 36604
251-202-5295

Primary (Ages 2-6) Contact Miss Ashley ashley@azaleacitymontesori.org
Elementary (Ages 7-12) Contact Miss Christian christian@azaleacitymontessori.org

Primary Cost: $130/Week (Extended Care $162/Week)
Elementary Cost: $155/Week

Parent 1 - First and Last Name *
Your answer
Any special skills, hobbies, or interests? The students love having parents come to do an activity during the summer!
Your answer
Parent 2- First and Last Name *
Your answer
Any special skills, hobbies, or interests? The students love having parents come to do an activity during the summer!
Your answer
Best Contact Phone *
Your answer
Best Contact Email *
Your answer
Child 1- First Name, Last Name *
Your answer
Age *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Which program are you enrolling this child in? *
Primary- Part time and half day schedules for the Primary class are available but limited and arranged on a case-by-case basis. Put your Primary choice of enrollment below.
Your answer
Will this child need Extended Care? *
Required
Child 2- First Name, Last Name
Your answer
Age
Your answer
Date of Birth
MM
/
DD
/
YYYY
Which program are you enrolling this child in?
Primary- Part time and half day schedules for the Primary class are available but limited and arranged on a case-by-case basis. Put your Primary choice of enrollment below.
Your answer
Will this child need Extended Care?
Child 3- First Name, Last Name
Your answer
Age
Your answer
Date of Birth
MM
/
DD
/
YYYY
Which program are you enrolling this child in?
Primary- Part time and half day schedules for the Primary class are available but limited and arranged on a case-by-case basis. Put your Primary choice of enrollment below.
Your answer
Will this child need Extended Care?
Dietary restrictions for any of your children? *
Your answer
Are you familiar with the Montessori Method? *
Your answer
We expect your child to attend for the entire Summer Session, but we do allow 1 week of Vacation time without payment. If you are taking a vacation during Summer Session, please list dates below. *
Your answer
Elementary Summer of STEAM-L: Can your child(ren) swim?
Your answer
Is there anything else you'd like to share with us regarding enrollment for this child?
Your answer
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