2020-2021 Children's Kiva Montessori School, K-8 New Student Pre-Enrollment Form

Thank you for your interest in Children's Kiva Montessori School. Completion and submission of this Pre-Enrollment Form does not guarantee, nor quantify placement.

Please submit one form per student you wish to have considered for enrollment.

Question Title

* 1. Student's LAST name

Question Title

* 2. Student's FIRST name

Question Title

* 3. Student's Date of Birth

MM/DD/YYYY

Date

Question Title

* 4. Student's Gender

Male

Female

Undeclared

Question Title

* 5. Student's Grade Placement for 2020-2021

Kindergarten

1st Grade

2nd Grade

3rd Grade

4th Grade

5th Grade

6th Grade

7th Grade

8th Grade

Question Title

* 6. First Contact Legal Guardian

Name

Address

City/Town

State/Province

ZIP/Postal Code

Country

Email Address

Phone Number

Question Title

* 7. Second Contact Legal Guardian, if applicable

Name

Address

City/Town

State/Province

ZIP/Postal Code

Country

Email Address

Phone Number

Question Title

* 8. Sibling Information. Children's Kiva Montessori School's (KM) policy gives preferential placement to siblings of returning and admitted KM students. Should there be more siblings of returning and admitted KM students than enrollment openings for a given grade, enrollment shall be offered at the Head of School’s discretion. If a sibling is applying, you must submit an application for each student applying for 2020-21.

I acknowledge having read the Sibling Information.

Question Title

* 9. First Sibling's First and Last Name, if applicable

Question Title

* 10. First Sibling's Status, if applicable

Currently Attending Children's Kiva Montessori School.

Applying to Children's Kiva Montessori School for 2020-21 School Year.

Question Title

* 11. Second Sibling's First and Last Name, if applicable

Question Title

* 12. Second Sibling's Status, if applicable

Currently Attending Children's Kiva Montessori School.

Apply to Children's Kiva Montessori School for 2020-2021 School Year.

Question Title

* 13. Current School District

Montezuma-Cortez RE-1

Dolores RE-4a

Mancos RE-6

Dolores County RE-2J

Charter

Homeschool

Other

Question Title

* 14. What is the primary language spoken at home?

English

Spanish

Other

Question Title

* 15. Is the student currently on an IEP, RTI, or Behavior Plan? Note: Children's Kiva Montessori School does not discriminate based on any disability, gender, race, religion or individual need. This question is solely included to accommodate for transition planning including welcoming the student into our program.

Yes

Unsure

Question Title

* 16. Do you currently qualify for Free and Reduced Price Meals?

Yes

Unsure

Question Title

* 17. I have read, understand, and agree to abide by the information contained herein. Please check each box to acknowledge having read the content.

It is my responsibility to familiarize myself with Children's Kiva Montessori School's enrollment process; detailed information is provided on our website at kivacharter.org.

Children's Kiva Montessori School's "Guiding Principles"--found at kivacharter.org org--describe our whole child, whole school, and whole community approach. To support our school, each family is asked to contribute a minimum of ten Family Partnership hours during the course of the year. By submitting this registration, you agree to engage in this positive community effort.

Upon notice of placement, I will be required to complete additional paperwork including, but not limited to: providing proof of immunizations, proof of a well child check-up signed by a physician, enrollment documents, etc.

Submission of this Pre-Enrollment Form does not guarantee enrollment in our school. Spaces are filled on a first come, first serve basis. In the event all spaces have filled, you will be contacted and placed on a wait list.

A non-refundable materials fee of $186 will be required prior to the first day of school. Scholarship funds and other financial assistance may be available to those who apply and qualify.

Question Title

* 18. I (We) have read and understand all information contained herein. By typing your name below, you agree that the information you have provided herein is accurate and can be used for Children's Kiva Montessori School purposes.

2020-2021 Children's Kiva Montessori School, K-8 New Student Pre-Enrollment Form

Question Title

* 1. Student's LAST name

Question Title

* 2. Student's FIRST name

Question Title

* 3. Student's Date of Birth

Question Title

* 4. Student's Gender

Question Title

* 5. Student's Grade Placement for 2020-2021

Question Title

* 6. First Contact Legal Guardian

Question Title

* 7. Second Contact Legal Guardian, ﻿if applicable

Question Title

Question Title

* 9. First Sibling's First and Last Name, if applicable

Question Title

* 10. First Sibling's Status, if applicable

Question Title

* 11. Second Sibling's First and Last Name, ﻿if applicable

Question Title

* 12. Second Sibling's Status, if applicable

Question Title

* 13. Current School District

Question Title

* 14. What is the primary language spoken at home?

Question Title

Question Title

* 16. Do you currently qualify for Free and Reduced Price Meals?

Question Title

* 17. I have read, understand, and agree to abide by the information contained herein. Please check each box to acknowledge having read the content.

Question Title

* 18. I (We) have read and understand all information contained herein. By typing your name below, you agree that the information you have provided herein is accurate and can be used for Children's Kiva Montessori School purposes.

* 7. Second Contact Legal Guardian, if applicable

* 11. Second Sibling's First and Last Name, if applicable