Please complete all required fields!
*Please select one of the following options.
1. My student is currently enrolled in RLM and my paperwork is on file.
2. My student is NOT enrolled at RLM
*Please choose your child's age group.
List telephone numbers below where parents or guardians my be reached while the child will be in care.
Use the link below to download our Medical Verification form which needs to be brought in.
*By checking this box you acknowledge that you understand the time's that our summer camp operates.
*Please choose your payment method
I would like to bring in a check or cash
I would like an invoice to pay online (adds 3% processing fee)
Rooted Life Montessori does NOT allow any forms of electronics on the campus for the children enrolled: iPad, tablets, phones, cameras, gaming devices, or basically anything that accepts batteries or an electrical power supply.
1st offense: the device will be taken from the child and returned at the end of the day. (Parent will receive notification of the event, but the teacher will allow the child to remedy the situation)
2nd offense: the device will be taken from the child and must be retrieved by the parent.
3rd offense: the child will be excused from class immediately to be picked up by the parent. The child will not be able to return for 7 days (a tuition refund will not be allowed).
If the parent is unable to retrieve the child, the child will be released to an authorized adult on the child’s Authorization For Release Form.
*Please be advised that your child may be photographed or videoed during the school day. Review the options below on how you would / would not like your child's photos to be used. Please make a selection below.
My child's photo or video can be used online (RLM Facebook page, RLM website, RLM blog)
My child's photo or video can be used for teaching or instructional purposes in a classroom setting. (Nothing posted online)
My child's photo may only be used if it is a profile shot. You may not use my child's photo if my child is looking directly into the camera.
I do not grant permission for my child's photo or video to be used in ANY way.
THIS RELEASE DOES NOT APPLY TO ROOM OR FACILITY SECURITY CAMERA FOOTAGE.
Texas Administrative Code, title 40, Chapters 746 and 747, Subchapters L, Discipline and Guidance
*Check One Please
Employee / Caregiver
Household Member of Child-Care Home
If you wish to go back and review any of your information, you may do so now. If all of your information is correct, you may submit the form now.
*By checking this box you acknowledge that you understand that no spots will be reserved until all camp fees and forms are submitted.
Rooted Life Montessori
811 Vicksburg lnBurleson, TX 76028817-578-6556[email protected]
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