Please fill out the form below and indicate which areas of the Canberra Montessori School you would like to apply for on behalf of your child.

Application Form

Child's Last Name *

Child's First Name *

Child's Preferred Name *

Child's Gender *

Female

Male

Child's Date of Birth *

Is your child of Aboriginal or Torres Strait Islander origin?

Yes - Aboriginal

Yes - Torres Strait Islander

No

Do you wish your child to be identified within the school as Aboriginal or Torres Strait Islander?

Yes - Aboriginal

Yes - Torres Strait Islander

No

N/A

Child's Country of Birth *

Child's Ethnic Background

Child's Nationality *

Languages spoken at home (most frequently used first)

Residential status of family *

Permanent Resident

Diplomatic

Student Visa

Other Temporary

Parent/Guardian 1 Last Name *

Parent/Guardian 1 First Name *

Relationship to Child *

Parent/Guardian 1 Email Address *

Parent/Guardian 1 Mobile Number

Parent/Guardian 1 Occupation

Home Address *

Home Address

Home Address

Home Address

City

City

State/Province

State/Province

Zip/Postal

Zip/Postal

Country AfghanistanAland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBruneiBulgariaBurkina FasoBurundiCôte d'IvoireCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCook IslandsCosta RicaCroatiaCubaCuracaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarReunionRomaniaRussiaRwandaSaint BarthelemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUnited States Minor Outlying IslandsUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe

Country

Parent/Guardian 2 Last Name

Parent/Guardian 2 First Name

Relationship to Child

Parent/Guardian 2 Email Address

Parent/Guardian 2 Mobile Number

Parent/Guardian 2 Occupation

Home Address

Home Address

Home Address

Home Address

City

City

State/Province

State/Province

Zip/Postal

Zip/Postal

Country AfghanistanAland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBruneiBulgariaBurkina FasoBurundiCôte d'IvoireCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCook IslandsCosta RicaCroatiaCubaCuracaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarReunionRomaniaRussiaRwandaSaint BarthelemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUnited States Minor Outlying IslandsUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe

Country

To be on a waiting list and while attending the school, each family must be financial members of the Canberra Montessori Society (annual fee). Please nominate an individual as the member of the Canberra Montessori Society representing your family (only the nominated member can participate in the Annual General Meeting) *

Parent/Guardian 1

Parent/Guardian 2

Has your child ever attended another preschool, occasional or long day care centre? If so, please provide details:

Has your child already attended another Montessori school? If so, what is its name and for how long?

Has a sibling already attended Canberra Montessori School or another Montessori school? *

Yes

No

If yes, please provide details including current class or reason for leaving and school now attending

Is your child on another school's waiting list? *

Yes

No

If yes, please provide details

Please describe any relevant information about your child's health, eg physical limitations or medical conditions such as asthma, epilepsy, allergies

Does your child have any special requirements, eg cultural or religious requirements that you would like us to be aware of?

Are there any other factors in your child's life or anything else about your child you feel we need to know about?

Have you attended an observation at our school? When?

Have you toured our school or attended an Open Day? When?

I understand that my child will only be placed on the waiting list for Cycles 1 - 3 if this form is fully completed and I have paid a non-refundable application fee of $120 (GST included). There is no waiting list fee for the Bumps & Babies or Parent Toddler Programme beyond being a financial member of the Canberra Montessori Society (see below). *

Yes

I understand that my child will only be placed on any waiting list if I have nominated a family member as the member of the Canberra Montessori Society above and paid the annual membership fee of $60. *

Yes

I understand that my child's name will be removed from the waiting list if our family ceases to be a financial member of the Canberra Montessori Society (annual fee). *

Yes

I understand that priority for a place is given to families who have other children currently attending the school. *

Yes

I understand that priority for a place in the Parent Toddler Programme is given to those children who have also applied for Cycle 1. *

Yes

I understand that being on the waiting list does not entitle my child to a place at the school. *

Yes

I would like to put my child on the waitlist for the following programmes (tick all that apply): *

0 - 18 months: CMS Bumps and Babies Group (no application fee beyond CMS membership)

18 months - 3 years: Parent Toddler Programme (no application fee beyond CMS membership)

3 - 12 years: Cycles 1 - 3 ($120 application fee)

If applying for the Parent Toddler Programme, please indicate in order of preference which day you would like your child to attend, Monday to Saturday (no guarantees given)

Signature *

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