MDAH Application for Admission

To submit your application, fill out the electronic form below. Do note that, once you begin the form, it cannot be saved; give yourself ample time to complete the information.

MDAH Application For Admission Electronic Form

Child's Information

Child's Name(Required)
Child's Date of Birth
Child Identifies As(Required)
Child's Home Address

Guardian's Information (1)

Name(Required)
Guardian's Relation to Child(Required)
Home Address
Home Address if Different from Child

Guardian's Information (2)

Name(Required)
Guardian's Relation to Child(Required)
Home Address
Home Address if Different from Child

Family Information

Parents/Guardians are(Required)
Please describe living arrangements/schedule if child lives in multiple home environments.

Education Information

Has your child ever attended daycare/school?(Required)
Has your child ever experienced any discipline challenges in an educational setting?(Required)
Are there any assessments, reports, or diagnoses regarding your child that MDAH should know about?(Required)
This is inclusive of documented learning disabilities, medical conditions, behavioral reports, etc.

Tuition and Enrollment Information

Academic School Year (8:00am - 2:30pm) |
ASY Extended Day Program (2:30pm - 5:30 pm)
| Early Drop Off (7:30am - 8:00am)
I would like to pay tuition
Tuition costs are comprised of all costs associated with all sessions chosen. % fees or discounts are applied to Regular Academic School Year tuition only.
Multiple Children(Required)
I will have multiple children enrolled at MDAH.

Billing Information

Name of Person Responsible for Paying Tuition(Required)
Address to be Used for Billing
Preferred Method of Paperwork Delivery(Required)

Contractual Agreement

RETURNING STUDENTS: ASY Application and Materials Fee

$200.00

ASY Application and Materials Fee

$300.00

Montessori Day Academy - Coker Campus
Montessori Day Academy - Prestwood Campus