Enrollment

Thank you for applying to enroll your child. Welcome to our family. The State requires several forms to be completed to enroll a new student to all preschool centers.

To complete this form you may need between 20 – 30 minutes to complete. All fields marked with a (*) are required. If you don’t have the information at the moment, please enter “N/A” on the field.

Welcome Package

Instructions

Please complete all fields on the enrollment form. The password we request on the enrollment page is a word you'll remember in order for us to verify you if needed to allow over the phone someone not on the authorized list to pick up your child.

Student Name :(Required)

Please enter the full name of the student in the format: LASTNAME, FIRST NAME MIDDLE NAME

Today's Date :(Required)

Tuition and Fees

2022 – 2023 School Year

Student Program:(Required)

Academic Program

Select Program:

Choose your payment type

Annual (10 months school year)

Monthly (10 Monthly Installments)

Amount

School Program for Preschool & Kindergarten (Full Program)

$12,610 (School Year)

$1,300 (10 Installments)

Half Day School Program for Preschool & Kindergarten

$10,670 (School Year)

$1,100 (10 Installments)

Extended Day Program (Full + Pre/After Care)

$14,740 (School Year)

$1,520 (10 Installments)

Infant Program (Full + Pre/After Care)

$16,200 (School Year)

$1,670 (10 Installments)

VPK Wrap Around Full Time

$11,980 (School Year)

$1,235 (10 Installments)

Summer Program (Currently Enrolled Families)

School Program for Preschool & Kindergarten (Full Program)

$1,300 (Monthly)

Half Day School Program for Preschool & Kindergarten

$1,100 (Monthly)

Extended Day Program (Full + Pre/After Care)

$1,520 (Monthly)

Infant Program (Full + Pre/After Care)

$1,670(Monthly)

Additional Fees

Organic Food Program (Where available)

$150

Extracurricular Individual Activities (Where available)

$60

Uniform Shirts (Required for two years and up)

$20

Required Fees (Each school year)

Non-refundable Enrollment Fee

$450

Non-refundable Re-enrollment Fee (Returning Students)

$400

Fees and Discounts

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Registration/Processing fee: $450.00/per child, per school year, due August 1st . Fee is non-refundable.

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Non-refundable Registration/Processing Fee is due at enrollment

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Organic Food Program option is charged on a monthly basis and is non-refundable.

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Late pickup fee: $15 for the first 5 minutes and $1 per minute after

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Returned check fee $45.00.

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Late Payment Fee $35.00 (payment made after the 5th).

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5% Sibling discount

Rev.09.16.2022 AM

Tuition Agreement

2022 – 2023 School Year

Student Name:

Agreement:

I agree to pay the fees stated in the summary below.
All tuition fees are annual amounts that can be paid in one lump sum due August 1st or in ten equal installments due on the 1st of each month. All closures during the academic school year have been calculated into the tuition; therefore, no adjustment is made for those closures.
I agree that monthly installments are due by the 1st of each month and payments are late after the 5th of each month.
I agree that payments can be made with a check delivered to the front desk or credit cards electronically via Tuition Express platform or by enrolling in autopayment.
I agree to pay full tuition even if my child is absent. There will be no credits for sick days, absences, or holidays.
If payment has not been received and is late 10 days, the student(s) shall be subject to dismissal. Any exception must be made in writing. Terms and conditions of payment must be fully and promptly made.
New Generation Montessori reserves the right to send delinquent accounts to a collection agency. If your account is not paid in full and it is turned over to a collection agency and/or attorney, I agree to be responsible for all reasonable fees necessary for the collection of the delinquent account including, but not limited to, due costs and reasonable attorney’s fee of 33% of the balance.
The terms of this agreement are subject to a yearly increase to cover rising living expenses.
The terms of this agreement are subject to change by New Generation Montessori without previous notice.
Complete payment must be made by the first of the month. Parents/guardians sharing responsibility for payments must work out solutions between themselves. The school will not intervene in conflicts between custodial parents concerning payment or communication.
Verbal agreements are not accepted. Any change to this tuition agreement must be made in writing and signed by the school and the parents.
Refund Policy: I agree that no refunds will be made to our account and any cancellation of services should be requested in writing at least 30 days prior to the termination of services. In the event of cancellation of services, no partial or prorated refund will be issued. I also agree that the registration fee is a non-refundable expense.

I have read and agree to the above fees and Tuition Agreement. I understand that this agreement must be returned to the school along with all other requirements.

Summary of Monthly Tuition agreed:

Registration Fee $

Monthly Tuition $

Extra(s) $

Total Monthly Payment agreed: $

Note

Parent/Guardian One Name

Parent/Guardian One Signature

Parent/Guardian Two Name

Parent/Guardian Two Signature

Date

Rev.08.30.2022 AM

Credit Card Authorization Form

2022 – 2023 School Year

Student Name:

How Do Recurring Payments Work?

You authorize regularly scheduled charges to your credit card. You will be charged the amount indicated below each billing period. A receipt for each payment will be emailed to you and the charge will appear on your bank statement as “New Generation Montessori”. You agree that no prior notification will be provided unless the date or amount changes, in which case you will receive notice from us at least 10 days prior to the payment being collected.

Instructions:

Ensure entire form is complete, check the info twice, then sign and date
Return signed form to the School Office or email it to billing@1ngm.com

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Visa

Master Card

Amex

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Discover

Card Holder Name

Card Number:

Expiration:

CCV:

Billing Zip Code:

I (we) hereby authorize New Generation Montessori to initiate credit card charges to the above-referenced credit card account indicated above for on the 1st. of each Month for the payment Monthly tuition plus any additional charges as stated on the Fees and Financial Agreement. To properly affect the cancellation of this agreement, I (we) are required to give 10 days written notice.

Billing Address:

Phone Number:

City:

State:

Zip:

Email:

Student Name(s)

Parent(s) Name(s)

Card holder/Account holder Signature(s)

Date

Enrollment application

School year:

Child Information

Student Name

Date of Enrollment:

PASSWORD:

Child’s Nickname

Child’s Birthdate: _

Child’s Gender:

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Male

Female

Child’s Language: First Language

Second Language

Environment

Primary Hours of Care: From:

Days of the Week in care :

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Parent/Guardian One Information

Name

Relationship to Child

Home Address

Home Phone

Home Email

Employer

Position

Work Phone Number

Mobile Number

Other Contact

Preferred Contact

Marital Status

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Married

Single

Widowed

Separated

Divorced

Child lives with

authorized to pick up child

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Yes

Parent/Guardian Two Information

Name(Required)

Relationship to Child

Home Address

Home Phone

Home Email

Employer

Position

Mobile Number

Other Contact

Preferred Contact

Marital Status

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Married

Single

Widowed

Separated

Divorced

Child lives with

authorized to pick up child

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Yes

Sibling Information

Child’s Name

Child’s Age

Age

If divorced, who has legal custody of the child? (Court document may be required) Is there other information you would like us to know?

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Condition

Medication

Yes

Allergies

Yes

Special Diet

Yes

Medical Condition

Yes

Explain

Is there any other information that would be helpful to our management and teaching staff?

Emergency Contacts

Please list any adult who can be contacted in case of illness, accident, or emergency, if for some reason, the custodial parent or legal guardian cannot be reached:

NOTE:This person is NOT authorized to pick-up child in case of an emergency.

Name

Relationship to Child

Phone

e-mail

Pickup Authorization

The child will be released only to the custodial parent or legal guardian and the persons listed below. If the custodial parent(s) or legal guardian(s) cannot be reached, the following people will be contacted for pickup (if necessary) and are authorized to remove the child from the facility in case of illness, accident, or emergency:

NOTE: Any changes made to this authorization require a signature from BOTH parents prior to pick up.

Name

Relationship to Child

Phone

e-mail

Acknowledgments

Sec. 7-8.04, DCF states: The childcare facility must maintain in each child's records signed statements that the childcare facility has provided the following information to the child's parent:

PLEASE CHECK MARK EACH BOX

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1. Requires a current physical examination (Form 3040) and immunization record (Form 680 or 681) .

2. I have received a copy of the following brochures (You can download all from https://pompanomontessori.com/brochures )

3. I have received in writing the disciplinary practices used by the childcare facility.

Your signature below indicates that you have received the above items and that the information on this enrollment form is complete and accurate. I understand and agree with the above statements indicated in numbers 1 through 3:

Parent/Guardian One Name

Parent/Guardian One Signature

Parent/Guardian Two Name

Parent/Guardian Two Signature

Date

Rev.08.30.2022 AM

Information to help us get to know your child

How would you describe your child’s disposition?

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Does your child have strong likes or dislikes? If yes, please explain.

How does your child approach and respond to new situations?

What group/school experiences has your child been a part of?

Are there any concerns or challenges specific to your child?

Will your child need any special accommodations to be successful at New Generation Montessori?

Information to help us get to know your family

Is there anything you would like us to know about your family heritage, culture or ethnic background?

How did you hear about New Generation Montessori?

Are there any family circumstances that would be helpful for us to know?

What is your family’s experience with Montessori education?

What do you value about Montessori education?

What are your expectations for your child’s education while at New Generation Montessori?

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Health History

Student Name:

Child’s Primary Care Physician

Clinic Name/Location

Telephone Number

Date of Last Exam

Child’s Dentist

Telephone Number

Does/Has the student had any of the following? Please check all that apply Does your child have allergies? If yes, please list.

What does an allergy reaction look like for your child?

Has your child had any professional assessments/evaluations? If yes, please describe.

Has your child a history of: (Check all that apply)

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Rev.08.30.2022 AM

Emergency Care

I Give permission to all the staff of New Generation Montessori to call “911” for emergency treatment of to my child. In the event of an emergency in which I cannot be reached, I give consent to transport by ambulance if the situation warrants it. I also give permission to the emergency personnel to administer first aid and to transfer my child to a hospital if required.

Parent/Guardian One Name

Parent/Guardian One Signature

Parent/Guardian Two Name

Parent/Guardian Two Signature

Date

If emergency medical attention (CPR and/or First Aid) is needed for my child, I authorize New Generation Montessori to call an ambulance to transport my child for medical treatment to the closest hospital or medical facility. I authorize New Generation Montessori staff who is trained in pediatric first aid and CPR to administer pediatric first aid and CPR if needed. My child’s enrollment information and health information may be viewed by staff, on a need-to-know basis, and by state licensors for compliance

Authorization for Media Release

Student Name:

I acknowledge that New Generation Montessori is a private provider and understand that my child’s picture may appear on their printed newsletter, website, and social media channels as part of a media publication on New Generation Montessori.

I have read the above and hereby give my consent:

Parent/Guardian One Name

Parent/Guardian One Signature

Parent/Guardian Two Name

Parent/Guardian Two Signature

Date

Rev.08.30.2022 AM

Alternate Nutrition Plan

Student Name:

Dear Parent/Guardian:
In accordance with the Palm Beach County Ordinances, parents/guardians and Child Care Providers are urged to work cooperatively to assure that children are provided with nutritious snacks and meals when they are not offered by the Provider. Information can be found at: https://www.choosemyplate.gov/eathealthy/myplate-mystate/florida

The Provider agrees to offer a nutritious: (Operator/Director checks those which apply)

Breakfast

Mid-morning snack

Lunch

Mid-afternoon snack

Dinner

Evening snack

No meals or snack

The parent agrees to provide a nutritious: (Parent checks those which apply)

Breakfast

Mid-morning snack

Lunch

Mid-afternoon snack

Dinner

Evening snack

I have read the preceding and agree to meet the child’s nutritional needs as defined above.

Parent/Guardian One Name

Parent/Guardian One Signature

Parent/Guardian Two Name

Parent/Guardian Two Signature

Date

_________________________________ Operator/Director Print

_________________________________ Operator/Director Signature

Date

Rev.08.30.2022 AM

Attendance and Sick Child Policy

Student Name:

Please remember it is REQUIRED to keep your child at home if the following conditions exist:

A fever of 100.4 or above
A skin rash that has not been identified by a phone call or in writing by a doctor
Diarrhea and or vomiting two or more times in a day
Evidence of head lice (without proof of treatment)
Severe coughing
Excessive runny nose
Conjunctivitis (pink eye)
Sore throat or difficulty swallowing
Stiff neck
Infected skin patches
Pain of which the child complains and interferes with normal activity
Evidence of infection
Excessive fatigue
A moist or open sore

Children ill because of communicable diseases must have a written statement from a doctor stating that they are no longer contagious before returning to school. All children sent home must be symptom-free for 24 hours per the childcare ordinance before returning to school. We will not accept ANY STUDENTS at the front if the students have any symptoms or if the student left the previous day with symptoms.

Excused Absences:

Medical appointment of a child or another family member
Any Illness or communicable disease listed below
Family emergency (may include car accident, lack of transportation, death of a family member, catastrophe)
Severe weather conditions that prohibit travel to and from school
Official or legal agency appointments (immigration, court appearance, etc.)
Court-ordered visitation
Religious/cultural celebrations

Unexcused Absences (Limited to 10 per fiscal year)

Preschool child did not want to go to school
Parent/child overslept
Any absence for which a specific reason is not given

Parent/Guardian One Name

Parent/Guardian One Signature

Parent/Guardian Two Name

Parent/Guardian Two Signature

Date

Rev.08.30.2022 AM

Participation in Food-Related Activities Policy

Student Name:

To comply with Child Care Licensing and Enforcement Ordinance 65C-22.005(1)(c)2, parents and legal guardians of children attending New Generation Montessori must be advised in advance that children may participate in food-related activities during the school year. Parent consent to participate in special occasion food events such as group snack provided by a parent (Smart School Snacks), birthday celebrations and/or similar events where food will be served, must be obtained in writing. Consent must also be obtained for children to participate in learning activities where food may be consumed, such as classroom cooking activities. Signed consent forms will be maintained in each child’s file (one consent form must be completed for each child enrolled in the program)

Activity

I give permission for my child to participate in classroom food-related learning activities such as cooking.

Yes

I give permission for my child to participate in group snack events where food is provided by a parent (using the guidelines of MSC’s Smart School Snacks.)

Yes

I give permission for my child to participate in special occasion food events such as birthday treats/school events.

Yes

Parent/Guardian One Name

Parent/Guardian One Signature

Parent/Guardian Two Name

Parent/Guardian Two Signature

Date

Rev.08.03.2022 AM

Extracurricular Activities

Student Name:

Activity

I would like my child to join Soccer every week.

Yes

Soccer is a fun, educational, age-appropriate skill, fitness, and motor development program. We designed a soccer syllabus centered around children that are 2-5. Children at these ages are not excited by the thought of running drills. However, they are ready to have fun with a soccer ball and learn techniques through stories and games. We use stories as a tool to captivate the child's imagination -that’s how we keep them involved, entertained, and focused.

I would like my child to join Art every week.

Yes

This class is designed to guide the child through a series of art techniques, artists, and art history while learning how to use their creativity, exploration, appreciation, and motor skills. Children will use exciting materials, learn new vocabulary, exercise concentration, and focus and develop a new and exciting love for Art!

I would like my child to join Yoga every week.

Yes

This class promotes confidence, a feeling of well-being, respect for others; and love for oneself, inside and out. It includes poses to increase strength, flexibility, and coordination. Animals and nature come alive in our classes with stories and music; as we move, we learn to stretch our bodies in new creative ways.

Check your child’s age group:

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2-3 years old age group

3-4 years old age group

4-5 years old age group

Classes are subject to availability. All classes last between 30-45 min each. I understand that I can withdraw my child at any time. If a session is canceled, an additional session will take place at the end of the series. There will be no refund or credit for classes missed. First payment is due in full, at time of registration. Activity fee will be added to your account by the 1st of each month with the regular tuition payment. I have read and understand the information provided on this form and waive any right to claim against New Generation Montessori and /or the instructors.

Liability Waiver:

I understand the inherent risks in participating in the programs marked above. I will not hold New Generation Montessori or any representatives responsible (or liable) for any accidents during normal class participation. I understand that New Generation Montessori staff will do everything possible to protect my child from accident or injury.

Total Monthly Amount is $60.00 monthly per each activity selected.

Parent or Guardian 1 (Print Name)

Parent or Guardian Signature

Date

Parent or Guardian 2 (Print Name)

Parent or Guardian Signature

Date

School Representative

Date

Rev.08.30.2022 AM

School Supply list

Hello Families!

Here is our school supply list for the 2022-2023 school year. Each item on the list is very important to the functioning of our classroom throughout the year. If you are unable to get something on the supply list or have any questions, just let the front office know. If you are willing and able to do so, we always appreciate extras. The more the merrier!

Please DO NOT label the individual items with your child's name, our classrooms are a community, and we share our supplies. Only label the bag with all the items inside it.

1 Package of Crayola Washable Markers
1 Set of Watercolor Paints or 1 bottle of any color
School Glue
1 pack of JUMBO crayons
Copy & Print Paper, Letter Size Paper, 20 Lb, Ream Of 500 Sheets
1 pair of kid friendly scissors
2 package of color pencils
2 boxes of Tissues
1 box of Gallon zip-lock bags
1-2 packages of play dough
1 pack of Construction paper
Face wipes
Clorox wipes
One Age-appropriate “Montessori” “non-fiction” book for classroom (See list attached)

Class items that we could always use if you are able (even throughout the year):

Grocery Plastic Bags!!!
Dish Sponges
Cotton Balls/ Q- Tips
Colored Sharpies
Copy Paper
Pens
Expo Dry erase markers
Empty Spray Bottles
costumes
empty little boxes
empty little jars
Clorox wipes
Lysol

Rev.08.30.2022 AM