Student Name*

First Last

The “cut off” date for birthdays is July 31 for the year in which you are applying. For example, your child needs to be 5 years old on or before 7/31/19 if you are applying to Kindergarten for the 2019-2020 school year.

Student Birthdate*

MM

DD

YYYY

Which year are you applying for?*

2020-2021, next year
2019-2020, this year

What is the student's gender?*

Female
Male

Student's ethnicity*

This question has no bearing on eligibility, and is solely for the purpose of data and record keeping.

If you selected "Multi-Racial/Bi-Racial", please check all boxes that apply:*

American Indian/Alaskan Native
Asian or Pacific Islander
Black or African American
Hispanic or Latino/Latina
White

This question has no bearing on eligibility, and is solely for the purpose of data and record keeping.

Applying for which grade?*

Kindergarten
1st Grade
2nd Grade

Parent/Guardian Name 1*

First Last

Parent/Guardian 1 Email*

Parent/Guardian 1 Cell Phone*

Parent/Guardian 1 Home Phone

Parent/Guardian Name 2

First Last

Parent/Guardian 2 Email

Parent/Guardian 2 Cell Phone

Parent/Guardian 2 Home Phone

Student's Residence*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Non-Resident Parent/Guardian Name 1

First Last

Non-Resident Parent/Guardian 1 Email

Non-Resident Parent/Guardian 1 Cell Phone

Non-Resident Parent/Guardian 1 Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Does the applicant have any siblings who attend City Garden Montessori?*

Yes
No

Name of sibling attending City Garden

First Last

Does the applicant have siblings who have also applied to City Garden?*

Yes
No

If yes above, name of sibling:

First Last

In order for this application to be complete, you must submit the following to City Garden Montessori School:

1. Original birth certificate of applicant

2. Up-to-date immunization and health forms

3. Two original proofs of residence from within the last month. These should be originals, not copies (gas bill, electric bill, cable bill, for example). Please mail them to the school or drop them off with your child's name written clearly on each bill. Alternately, two of your utility companies can email apply@citygardenschool.org to confirm your residency.

4. Parent's original Photo ID

You may deliver or mail these forms to

City Garden's Admissions and School Secretary

1618 Tower Grove Ave., St. Louis, MO, 63110

Attn: Charter school admission material

Because so many documents must be originals, you are welcome to bring them in person, have them immediately processed, and take them home again. If originals must be mailed, you can pick them up in person at your convenience.

How did you hear about City Garden Montessori School?

Friend or family member
Saw the school while driving by
Print material: advertisement, news article, flyer, post card, yard sign, etc
City Garden's website or social media
Other

I certify that the information herein is accurate and true. (type your name)*

Preschool

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Preschool

Charter School

Volunteer

Events

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K-2 Application Form

K-2 Charter School Application 2020-2021

The “cut off” date for birthdays is July 31 for the year in which you are applying. For example, your child needs to be 5 years old on or before 7/31/19 if you are applying to Kindergarten for the 2019-2020 school year.

Together we can empower our children to achieve greatness. Together we can build a better future. Together we can.