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Hubbliville Academy

Application for Admission

Application for Admission

Applicant's Name*
First Middle Last
Date of Birth*
Date Format: MM slash DD slash YYYY
Program of Interest*
- Primary (Age 2 1/2 - 6YRS)
- Elementary (Age 6-12YRS)
Parent 1/Guardian’s Name*
Prefix First Last
Email Address
Cell Phone
Cell Phone
Home Address
Street Address City State / Province / Region ZIP / Postal Code Country
Place of Business
Occupation
Business Phone
Business Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Mother/Guardian’s Name
First Last
Home Address
Same as father's

Street Address City State / Province / Region ZIP / Postal Code Country
Cell Phone
Cell Phone
Email Address
Business Phone
Occupation
Place of Business
Business Address
Who is financially responsible for payment of fees?
Please give name and address if different from parents
Name Address
Applicant lives with
Name Relationship

Click ⊕ sign to add more
Brothers and Sisters
Name Age Male/Female

Click ⊕ sign to add more
What languages are spoken at home?
What is applicant’s first language?
Pick-up Approvals (individuals other than the parents)
The following people may pick up my child from St. Croix Montessori School
Authorized pick-up: Name
Authorized pick-up: Relationship
Authorized pick-up: Phone
Authorized pick-up: Name
Authorized pick-up: Relationship
Authorized pick-up: Phone
Authorized pick-up: Name
Authorized pick-up: Relationship
Authorized pick-up: Phone
Previous School Experience
Please complete the following information for all the schools your child has attended. We reserve the right to contact your child’s previous school(s) and/or your child’s former teacher(s).
School Address Phone Dates of Attendance Teachers Name
Does the applicant have any known educational, psychological, speech/language, or learning difficulties?
- Yes
- No
Please explain
Provide a copy of all tests and evaluation results
Drop files here or
Application fee
Price: $20.00
Please check the box beside the statement.
- I understand that the application fee is not refundable
Initials
Please check the box beside the statement.
- I certify that the answers provided herein are true and complete to the best of my knowledge. I authorize the St. Croix Montessori School to contact appropriate educational personnel to discuss any testing or evaluation results that apply to my child.
Signature of Parent/Guardian
Date
Date Format: MM slash DD slash YYYY
Do you want to apply for another child?*
- Yes
- No
Do you have a user account on our Parent Portal?
- Yes
- No
Hubbli User Account Creation
Username
Usernames must be in lowercase with no spaces, we recommend using your first name & last name for your username (e.g. brunomars)

This is the username you will use to login.
Email
Username2
Usernames must be in lowercase with no spaces, we recommend using your first name & last name for your username (e.g. brunomars)

This is the username you will use to login.
Email2
Once we accept the application you will receive an email notification with login information

Save and Continue Later

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