APPLICATION FOR ADMISSION TO ATTEND THE 2022-2023 SCHOOL YEAR
Thank you for considering Richmond Hill Montessori Private School (RHMS) for your child.
Kindly Note: The information on this application is requested by RHMS for parents/guardians whom already
conducted an initial interview virtually or in person, and have chosen to apply to Richmond Hill Montessori
Private School. Before proceeding, please make certain you have read all the clickable documents below and/or
documents provided to you by your Registrar. A Password will be required to open documents below.
1) RHMS
2) RHMS
3) RHMS
4) RHMS
5) RHMS
6) RHMS
7) RHMS
8) RHMS
9) RHMS
10) RHMS
Introduction Letter (Double click to open)
2022-2023 Prospectus dated November 08, 2021 (Double click to open)
School Policies and Guidelines dated November 08, 2021 (Double click to open)
2022-2023 Student Handbook dated November 08, 2021 (Double click to open)
IPad/MacBook Air Student 1 to 1 User Guide dated November 08, 2021 (Double click to open)
COVID-19 Policies and Guidelines Chart dated November 08, 2021 (Double click to open)
COVID-19 Policies and Guidelines dated November 08, 2021 (Double click to open)
COVID-19 Building Entrance/Exit Plan dated November 08, 2021 (Double click to open)
Copy of Affirmation of School Policies and Guidelines (Double click to open)
Copy of Enrolment Contract for reading and reference prior to execution (Double click to open)
Admission Procedure
Step #1:
Please complete this Application for Admission carefully (One per each child) and kindly make
certain that all applicable forms are completed and that all requested documentation are included prior to
submission. When submitting the documents via email please make certain the email does not exceed 9mb
for each email. Also make certain to include the reference # provided by your registrar in the subject line.
a)
b)
c)
d)
e)
f)
g)
Child’s birth certificate (A photocopy of the front and back of the long form)
Confidential School Recommendation Form (applicable only to elementary applicants) Form attached
RHMS Immunization Form to be completed. (Must be signed by your Doctor) Form attached
Please enclose a photocopy of the student’s current updated immunization records
Most recent report card from your child’s last school attended (applicable only to elementary applicants)
Ontario Health Card (A photocopy of the front and back would be adequate)
Ontario Student Record (O.S.R.) Request Form (applicable only to children age 5 and elementary
applicants) Form attached
h) Recent photo of your child (please provide a clear facial picture only)
i) Uniform Form (Submit directly to InSchoolWear upon receiving A Letter of Acceptance) Forms attached
j) Submit an assessment fee of $500.00 (per Elementary student - See Prospectus for more information)
Step #2:
Upon gathering items in step # 1, call the school to arrange a Registration appointment.
Prepare the following below only upon being instructed to do so by the Registrar.
a) Registration fee of $1000.00 (per Montessori student and non-refundable)
b) Registration fee of $2500.00 (per Elementary student and non-refundable. This fee includes the use of an
IPad and/or MacBook. All devices are property of RHMS)
c) First Instalment Certified cheque/Bank draft (non-refundable upon acceptance)
d) Post-dated cheques (non-refundable)
Only bank drafts payable to Richmond Hill Montessori Private School or “RHMS” are accepted for the
first instalment and registration fee. Cash, Credit Cards are not accepted. See Tuition Fees in the
Prospectus for instalment amounts based on payment options. All instalments must be dated according to
the payment option you have chosen on the fee schedule outlined in the 2022-2023 Prospectus. Please write
your child’s name on the back of every cheque.
Step #3:
Registration may commence once the school and the candidate’s parents have concluded
that RHMS is an appropriate environment for the child.
a) All the items in step #1 and 2 are completed
b) The Enrolment Contract and the Affirmation of Policies is read and signed by either the parents or
guardians (Given to parents at the Registration Appointment Interview) Forms will be sent
electronically. A sample copy of the original Enrolment Contract was provided prior to step #1
c) The chosen payment option and all accompanying instalments have been submitted, received and
have been cleared by our Bank (All instalments must be dated according to the payment option you
have chosen shown on the 2022-2023 Prospectus)
d) A Letter of Acceptance has been provided to you confirming Admission
By applying for admission to RHMS, you consent to the collection, use and disclosure of your and your child’s
personal information in accordance with RHMS’s Privacy Policy as may be amended from time to time and
posted to the school website. You hereby acknowledge that you have reviewed and agree with such Privacy
Policy. https://www.rhms.ca/privacy-policy
November 08, 2021
Clear Data
STUDENT INFORMATION (Please print all information clearly)
Which program are you applying for? Montessori
Elementary
Grade _____________
Last Name: ____________________________ First Name: _____________________________
Middle Name(s):_________________________ Preferred Name: _________________________
Home Address: _________________________________________________________________
City/Town: ____________________ Province: ______________ Postal Code: ______________
Home Phone: (
) __________ Date of Birth: ____________ Sex:
Male
(dd/mm/yyyy)
Female
Citizenship: ____________________________ Country of Origin: ________________________
Primary Language Spoken: ________________ Other Languages Spoken: _________________
Candidate’s talents or special interests: ______________________________________________
Date of enrolment to an Elementary School in Ontario: __________________________________
Name of previous school: _________________________________________________________
Name of Principal: _______________________________ School Tel: (
) __________
Address: _______________________________________ City/Town: _____________________
Postal Code: ____________________________________ Fax: (
) __________
FAMILY INFORMATION
PARENT/GUARDIAN (with whom child resides)
Relation to child:_______________
Last Name: __________________________ First Name: _______________________________
Employer: __________________________________________ Work Phone: (
) __________
Occupation: ________________________________________ Mobile Phone: (
) __________
Main Email Contact Address: ______________________________________
PARENT/GUARDIAN II
Relation to child: _______________
Last Name: __________________________ First Name: _______________________________
Employer: _________________________________________
Occupation: __________________________
Mobile Phone: (
Work Phone: (
) __________
) __________
Main Email Contact Address: ______________________________________
Please identify if parents are separated or divorced: ____________________________________
Are there special custody arrangements? (If yes, please provide documentation): _____________
______________________________________________________________________________
If one parent’s address is different from student’s address please complete:
Home Address: _________________________________________________________________
City/Town: _____________________ Province: ___________ Postal Code: ________________
Home Phone: (____)___________
SIBLING INFORMATION:
1) Name: _____________________ School: ________________ Age: _____ Grade: ________
2) Name: _____________________ School: ________________ Age: _____ Grade: ________
DIRECTION FOR SIGNING OF ELECTRONIC DOCUMENTS
RHMS uses electronic signatures for the Enrolment Contracts. To validate the Enrolment contract
we will need dual signatures of the parents/guardians.
Please provide the Full Name, Email and relation to the child for each signature:
Email #1 First Name: _________________________ Last Name: ________________________
Email Address: _________________________ Relation to child: ____________________
Email #2 First Name: _________________________ Last Name: ________________________
Email Address: _________________________ Relation to child: ____________________
November 08, 2021
EMERGENCY CONTACT INFORMATION (Please print clearly)
Please list the names of two people other than the parents or guardians who may be contacted
in the event of an emergency. This is very important for the safety of your child. Please note that
Emergency Contacts should speak English to communicate with the teacher/school if a situation
occurs. If they do not speak English, you will need to have a translator readily available to help the
teacher/school communicate with the Emergency Contact. Please make sure you provide the
Administration Office with the translator’s contact information, if applicable.
PRIMARY EMERGENCY CONTACT
Name: ____________________________________ Relation to Child: _____________________
Home Phone: (
) __________Work Phone: (
) __________ Mobile: (
) __________
SECONDARY EMERGENCY CONTACT
Name: ___________________________________ Relation to Child: ______________________
Home Phone: (
) __________ Work Phone: (
) __________ Mobile: (
) __________
PICKUP CONTACT INFORMATION
Please list the names of two people other than the parents or guardians who are authorized
to pick up your child from school. This is very important for the safety of your child.
PRIMARY PICK-UP CONTACT
Name: ___________________________________ Relation to child: ______________________
Home Phone: (
) __________ Work Phone: (
) __________ Mobile: (
) __________
SECONDARY PICK-UP CONTACT
Name: ___________________________________ Relation to child: ______________________
Home Phone: (
) __________ Work Phone (
) __________Mobile: (
) __________
HEALTH CARD AND DOCTOR INFORMATION
Child’s Health Card Number: _____________________ Family Doctor: _____________________
Health Card Expiry Date: ________________________
Doctor’s Phone: (
) __________ Doctor’s Fax: (
) __________
HEALTH INFORMATION
Indicate the last date your child was checked for Allergies Date: ____________ Never 
Briefly list any allergies your child may have: _________________________________________
Does your child require an EpiPen? Yes _______ No ________ If your child has any allergies you
will need to complete this form:
FORM A-1 Severe Allergy Alert Web Form.
Has your child been diagnosed with Asthma? Yes _______ No ________ If your child has Asthma
you will need to complete this form: FORM A-2 Severe Allergy Alert Web Form.
If yes, does your child require a puffer? Yes _______ No ________ Kindly attach supporting
documents indicating the triggers & treatment plan.__________________________________
Indicate the last date your child’s Eyes were checked.
Date: ____________
Never 
Indicate the last date your child’s Hearing was checked. Date: ____________
Never 
Indicate the last date your child received a COVID-19 Vaccine. Date: ________
Never 
Please indicate any social, emotional, or medical conditions your child may have: _____________
______________________________________________________________________________
______________________________________________________________________________
November 08, 2021
HEALTH INFORMATION, CONTINUED
Is your child being administered medication on a regular basis? Yes
No
If yes, please provide details: ______________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Does your child have any physical limitations that would prevent participation in sports and other
related physical activities?
Yes
No
If yes, please provide details: ______________
______________________________________________________________________________
______________________________________________________________________________
Does your child have any educational assessments completed within the last 6 years?
Yes
No
If yes, provide all copies with this application. Kindly provide any details about
the assessments that will help the child’s learning process: ______________________________
______________________________________________________________________________
______________________________________________________________________________
Please provide any other health information that may be helpful to us: _____________________
______________________________________________________________________________
______________________________________________________________________________
SECURITY PASSWORD
Please specify a password of up to eight characters which will
be used when necessary to verify your identity over the telephone.
PASSWORD: ___ ___ ___ ___ ___ ___ ___ ___
SURVEY
We are appreciative of your interest in Richmond Hill Montessori Private School and ask that you
kindly fill out this survey.
How did you hear about RHMS?

Parent of current/past student

I have/had another child attend RHMS

Drove by

Staff member

Friend/family member

Internet search

Other Please specify: ______________
Which other schools have you considered as possibilities? ________________________________
______________________________________________________________________________
Please indicate the criteria that influenced your decision to apply at RHMS? __________________
______________________________________________________________________________
______________________________________________________________________________
You are welcome to express your opinion or suggestions about our school below.
______________________________________________________________________________
______________________________________________________________________________
FOR OFFICE USE ONLY
Year of Entry: _______________________
Start Date: ________________________
Type of Application:
First Name: _________________________
Last Name: ________________________
Registration
Reservation
Date of Birth: ________________________
OEN: _____________________________
Program:
Montessori
Elementary
(dd/mm/yyyy)
November 08, 2021