Welcome to Our Summer Program Peninsula Montessori School Hawthorne Blvd. Rancho Palos Verdes, California P: (310) F: (310) W: Please complete the following application for enrollment in Peninsula Montessori School’s summer sessions. The same application can be used for enrollment in both summer sessions. Completed forms and program deposit fees are due before May 15, We look forward to you joining us. Session 1: June 22 – July 17 Session 2: July 20 – August 14 Ages 18 months – 12 years Full Day & Half Day Programs Available PENINSULA MONTESSORI SUMMER 2014 $50 discount per session if enrolled by April 15th

2015 SUMMER PROGRAM APPLICATION Student Information Last Name First Name Date of Birth Age ☐ Male ☐ Female Parent/Guardian 1 Name Relationship to Student ☐ Father ☐ Mother ☐ Other Address City State Zip Home Phone Work Phone Cell Phone Physician’s NamePhone Address Terms and Conditions Parent/Guardian 2 Name Relationship to Student ☐ Father ☐ Mother ☐ Other Address City State Zip Home Phone Work Phone Cell Phone Allergies/Medications Deposit A $400 deposit per summer session must accompany your application in order to reserve your child’s spot. If there is an available space, the $400 deposit will be applied towards summer tuition. If there is no space available, the full deposit will be returned. Payment Due Payment (minus the $400 deposit) is due on the 1 st day of each summer session. Withdrawal & Refund Policy Until and including 05/15/15, if your plans change, we will refund 50% of your deposit & registration payment. After 05/15/15, your payment is nonrefundable. Deposits for summer school DO NOT apply to fall tuition. Payment Please make checks payable to: Peninsula Montessori School. Peninsula Montessori School Hawthorne Blvd. Rancho Palos Verdes, California P: (310) F: (310) W: Please print neatly Consent for medical treatment: As the parent/guardian, I hereby give consent to Peninsula Montessori School to provide all emergency dental or medical care prescribed by a duly licensed physician (M.D.) or dentist (D.D.S.) for my child. This care may be given under whatever conditions are necessary to preserve the life, limb or well-being of my child. Parent/Guardian Signature / Date Indicate Shirt Size ☐ Youth XS ☐ Youth SM ☐ Youth MD ☐ Youth LG

2015 SUMMER PROGRAM APPLICATION Academic and Enrichment Program Registration Peninsula Montessori School Hawthorne Blvd. Rancho Palos Verdes, California P: (310) F: (310) W: PROGRAM LEVEL (check one): ☐ Toddler (18 – 30 mos.) ☐ Pre-Primary (2-1/2 - 5 yrs) ☐ Transition (5 – 7 yrs) ☐ Elementary ( 7 – 12 yrs) 2015 SUMMER TUITION Half Day Full Day $ 1,065 $ 855 $870 $890 9am – 12pm $ 1,345 $ 1,065 $ 1,090 $ 1,115 9am – 3pm 9am – 3:15 pm mos. 2-1/2 – 5 yrs 5 – 7 yrs 7 – 12 yrs Toddler Pre-Primary Transition Elementary PROGRAM PARTICIPATION (check all that apply): ☐ Session 1, Half Day ☐ Session 1, Full Day ☐ Session 2, Half Day ☐ Session 2, Full Day CHILD CARE Extended child care is available for students between the hours of 7:30–9:00 a.m. and 3:00–5:50 p.m. There is a ten-minute grace period from 5:50–6:00 p.m. Any service provided after 6:00 p.m. is subject to a charge of $5.00 per minute. Fees are as follows: $8.00 per hour $25.00 maximum per day $ maximum per session Student: Amount due:

2015 SUMMER PROGRAM APPLICATION About Our Enrichment Programs and Extra-Curricular Activities Peninsula Montessori School Hawthorne Blvd. Rancho Palos Verdes, California P: (310) F: (310) W: Our summer program will offer an academic morning using our Montessori curriculum and principles. The afternoon will consist of selected enrichment programs. Students will be treated to a BBQ lunch every Friday during each summer session courtesy of the Peninsula Montessori staff and administration. Jumbo water slides will be on hand for water play each Friday on the campus playground. Paid Half-Day and Full Day enrollment includes a FREE Peninsula Montessori School Summer Program T-Shirt. Kids in the Kitchen Students will stir up some excitement in the kitchen this summer. Our culinary class teaches all stages of food preparation. Your child will experience it all - from measuring cups to sweeping crumbs and everything in between. Materials Fee $20 Room for Rhythm Our younger students will get in the groove this summer with the playful study of music and motion. Elementary age students will be introduced to the process of making music electronically with Garage Band software in our fully equipped computer lab. Our Transition level students will sing, learn musical notation, and make their own instrument. Can’t beat that! Treasure Hunt Never lose those keys again. Students will explore our campus and their surroundings in the most unique way. Following directions, reading maps, and creative problem solving are but a few of the many skills they will hone. Materials Fee $20 Woodworking This course will help our students develop the art of carpentry. They will have the opportunity to create, develop, build and finish their individual wood items. Materials Fee $20 SPACE IS LIMITED. PLEASE SUBMIT YOUR APPLICATION FOR ENROLLMENT EARLY. For more information, visit us online Experiment Extravaganza Through demonstrated and hands on experiments, the children will learn the basics of Botany, Geology, Chemistry, Physics, and Biology. Your child will experience the many miracles of science from all different angles. Materials Fee $20 Sports of all Sorts Coach Garry and team will have kids hopping, and running, and skipping, and a host of other fun activities this summer. Students will get to experience a variety of sports and activities, and they are guaranteed to have a ball! Art, Art and More Art Our art classes are designed for children of all abilities. Teachers will work with each child, demonstrate techniques, answer questions and encourage exploration. New interests often arise as our students explore their own creativity. Materials Fee $20