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WaivedApp
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WaivedApp
Student Information Form – Fee Waived
Please submit one form per child.
Child's Full Name
(Required)
If child is usually called something other than first name, please include that here.
Program for which you are applying:
(Required)
Toddler (begins at 18 months)
Children’s House (3 years-Kindergarten)
Lower Elementary (1-3 grades)
Upper Elementary (4-6 grades)
Middle School (7-8 grades)
Intended dismissal time
(Required)
4 days, 11:45 dismissal
5 days, 11:45 dismissal
5 days, 3:30 dismissal
5 days, 5:30 dismissal
Intended dismissal time
(Required)
12:00 dismissal (3&4 year olds only)
3:30 dismissal
5:30 dismissal
Intended dismissal time
(Required)
3:45 dismissal
5:30 dismissal
Intended contract schedule
(Required)
Traditional academic calendar (late August-early June, appx. 38 weeks)
Year-round calendar (late August-early August, appx. 47 weeks) *Not available for 4-morning toddler program
Current Age
(Required)
Birth Date
(Required)
Month
Day
Year
Gender
(Required)
Current School or Childcare
Previous School or Childcare
Number of years you plan for child to be at Mountaintop
We value diversity and seek to understand each child in terms of his or her cultural background. If you wish to identify a particular racial or ethnic background, it will be appreciated.
Email of adult submitting application
(Required)
We are concerned with the well-being of the whole child–academically, socially, physically, and emotionally. Please describe your child in the following areas:
Prior school or caregiver experiences
(Required)
Emotional and family life
(Required)
Social Life
(Required)
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