Summer Montessori Program Application

Program Hours
9:15am – 12pm

Apply Online

Please complete the form below to apply.

Please include a $50 Registration fee for each weekly session with this application. This fee is refundable up to April 15, 2024. The Registration Fee is applied toward the final tuition. Full payment is due by May 15, 2024. Enrollment is contingent on a 2-week minimum; however, additional weeks may be added if space permits.

Send your required registration fee to Christopher Academy, 510 Hillcrest Avenue, Westfield, NJ 07090 or call the office at 909-233-7447 to pay by Zelle.

"*" indicates required fields

Step 1 of 7 - Student Information

Student Information

Child's Full Name*

First Middle Last

Child's Preferred Name

Address

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

Birthdate*

Age

Please enter a number from 0 to 10.

Gender

Guardian 1 Information

Name*

First Last

Is address different than child's?

Yes, it's different

No, it's the same

Current Address

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

Preferred Phone*

Preferred Email*

Occupation

Business Name

Guardian 2 Information

Name

First Last

Is address different than child's?

Yes, it's different

No, it's the same

Current Address

If different from child's address

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

Preferred Phone

Preferred Email

Occupation

Business Name

Emergency Contact #1

Name

First Last

Phone

Address

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

Emergency Contact #2

Name

First Last

Phone

Address

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

Christopher Academy does not discriminate on the basis of any acknowledged legally protected category in the administration of its admissions policies or educational goals.

Have Questions?

We’re happy to answer any questions you may have.

Call us to schedule an appointment (908) 233-7447 or email us.

Summer Montessori Program Application

Apply Online

Student Information

Guardian 1 Information

Guardian 2 Information

Medical Information

Emergency Contact #1

Emergency Contact #2

Please indicate below which session and weeks you would like:

Have Questions?

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