Apply for Admission

Child's First Name

Child's Last Name

Child's Date of Birth

First Name

Last Name

Street Address

Street Address Line 2

City

Region/State/Province

Postal / Zip code

Phone

Thank you for submitting your application!

Parent / Guardian 1

First Name

Last Name

Check here if address is the same as above.

Street Address

Street Address Line 2

City

Region/State/Province

Postal / Zip code

Phone

Previous Schools: Please list the schools your child has attended previously, including both duration and reason for leaving.

Important Considerations (Health/learning needs, relevant sibling information, etc.)

I hereby give my consent and desire for my child to be enrolled at Safety Harbor Montessori Academy for the program selected above. A registration fee of $150 is required with submission of this form, which I understand and agree is not refundable unless space is not made available and I remove my child from the waiting list in writing before a space becomes available. By submitting this form, I am agreeing to these terms and conditions.

Parent / Guardian 2

Safety Harbor Montessori Academy Application for Admission
*There is a $150 non-refundable application fee. See below for more information.

Background Information

Safety Harbor Montessori Academy does not discriminate based on race, sex, color, religion, or national or ethnic origin, in regards to admissions or employment. Placement in a class is based on the well being of all children concerned, and is at the sole discretion of the educational staff.

Parent / Guardian 1

Parent / Guardian 2

Safety Harbor Montessori Academy Application for Admission *There is a $150 non-refundable application fee. See below for more information.

Background Information

Non-Discrimination Policy

Safety Harbor Montessori Academy Application for Admission
*There is a $150 non-refundable application fee. See below for more information.