NSMS Summer 2025 Program Registration

Date *

Child's Information

Child's first name *

Child's last name *

Child's Birthdate *

Child's Gender *

Grade in Fall *

Children's House
Elementary
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Parent Information

Parent/Guardian 1:

First Name *

Last Name *

Phone *

Email *

Address *

City *

State *

Postal code *

Parent/Guardian 2:

First Name

Last name

Phone

Address (if different from above)

City

State

Postal Code

Additional Information

Emergency Contact if Different Than Parent/Guardian

Emergency Contact Phone Number *

Allergies and Action Plan:

Authorized Pick-up 1: *

Authorized Pick Up Phone Number 1 *

Authorized Pick-up 2:

Authorized Pick Up Phone Number 2

Authorized Pick-up 3:

Authorized Pick Up Phone Number 3

Please fill out one form for each child enrolling for the summer program.

Children’s House Montessori Ages 3 to 6 / Monday to Friday, 8:15 a.m. to 11:45 a.m.

Session 1: June 16 to July 11 / $1,020 (No Class July 4th)

Session 2: July 14 to August 8 / $1,020

Children’s House Lunch / Monday to Friday, 11:45 a.m. to 1:00 p.m.

Session 1: June 16 to July 11 $295 (No Lunch July 4th)

Session 2: July 14 to August 8 $295

Elementary Explorers Grades 1 to 6 / Monday to Friday, 8:15 a.m. to 11:45 a.m.

Session 1: June 16 to June 27 / $430 Campfire Cooking

Session 2: June 30 to July 11 / $430 Creative Expression (No Class July 4th)

Session 3: July 14 to July 25 / $430 Mud Mucking

Session 4: July 28 to August 8 / $430 Harvest

Elementary Explorers Lunch / Monday to Friday, 11:45 a.m. to 1:00 p.m.

Session 1: June 16 to June 27 / $150

Session 2: June 30 to July 11 / $150 (No Lunch July 4th)

Session 3: July 14 to July 25 / $150

Session 4: July 28 to August 8 / $150

I will pay a $100 deposit per child using PayPal

Yes

https://www.paypal.com/donate/?hosted_button_id=8LE888XDW7SUQ

Total $

Cancellations and program changes must be submitted at least 14 days prior to the program start date and are subject to a $25 administration fee. There will be no refunds for programs canceled with less than 14-days’ notice. The cancellation policy is not dependent on the status of summer program waitlists.
Please contact Sarah with any questions: [email protected]