Summer Programs Application Form
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1MONTESSORI TIDES SCHOOL
2015 SUMMER PROGRAMS APPLICATION
CHILD’S NAME___________________________________________________
AGE AND BIRTHDATE______________________________________________
PARENT NAMES(S)________________________________________________
ADDRESS________________________________________________________
TELEPHONE (H)___________ C___________ W_________________________
EMAIL___________________________________________________________
EMERGENCY CONTACT
NAME AND PHONE__________________________________________________
LIST ANY FOOD
CONSIDERATIONS_______________________________________________________________________________
Please check session(s) desired:
Toddler Program (16‐36 months)
June
July
Option 1
8:45‐12:00
$700/mo
_____
_____
Option 2
8:45‐3:00
$900/mo
_____
_____
Option 3
8:45‐4:00
$950/mo
_____
_____
Early drop off at 8:00am
$80/mo
_____
_____
PlayArts Program (3‐6)
June
July
Option 1
8:30‐2:00
$780/mo
_____
_____
Option 2
8:30‐4:00
$875/mo
_____
_____
Early drop off at 8:00am
$80/mo
_____
_____
10% Discount on 2
child. Please makes checks payable to Zazo Montessori and mail or bring to:
nd
Montessori Tides School
1550 Penman Road, Jacksonville Beach, FL 32250
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