Summer Camp Application Form - Preschool in Maryland

Type of Student

New Student
Returnee

Academic Year

2026

Child's Name

Gender

Male
Female

Child's Birth Date

Address

Address Line 1

Address Line 2

City

State

Zip Code

Parent's Name

Relationship to Child

Parent's Mobile Number

Parent's E-mail

Parent's Work Phone

Second Parent's Name

Layout take Payment

Relationship to Child

Second Parent's Mobile

Second Parent's Email

Second Parent's Work Phone

Allergies, if any

Program Plan

Montessori Instruction Program
Summer Camp Program

Summer Camp Program Times & Pricing

Extended Day: 7:30 a.m. – 6:00 p.m. Price: $400.00 per week.
Full Day: 8:00 a.m. – 3:30 p.m. Price: $375.00 per week.
Half Day: 8:45 a.m. – 12:15 p.m. Price: $325.00 per week

Montessori Instruction Program Times & Pricing

Extended Day: 7:30 a.m. – 6:00 p.m. Price: $450.00 per week.
Full Day: 8:00 a.m. – 3:30 p.m. Price: $400.00 per week.
Half Day: 8:45 a.m. – 12:15 p.m. Price: $350.00 per week

Weeks of Attendance and Themes

**Important: Please note that you MUST select at least 8 weeks from above to participate in Norbeck’s Summer Camp Program**

I Agree to Below

I have included a $200 NON-REFUNDABLE Deposit.
I have included a $25 NON-REFUNDABLE registration fee.

Program Payment

I understand additional childcare is available for children in Half day and Full Day. The additional fee per hour for children in Half day or Full day is $11.00.

Sessions Selection

I have checked all the sessions I wish to reserve for my child. I realize I will be billed for each session I have reserved unless I submit written notice to Norbeck Montessori. This notice must be received two weeks in advance. NOTIFYING A STAFF MEMBER DOES NOT CONSTITUTE PROPER NOTICE. *

NOTE: No allowances can be made for absences due to illness, disability or change in personal plans.

My Child Wears Diapers

Yes
No

My Child Wears Pull Ups

Yes
No

Signature

Clear Signature

Signature is Required

My Child will take a Nap at Camp After Lunch (Toddler Room Only).

Yes
No

My Child is in Underwear All Day.

Yes
No

Date

Total Amount

Price: $225.00

Registration fee and Non-refundable deposit for the summer camp Application for your child in Norbeck Montessori.

Stripe Credit Card

Summer Camp Registration Form in Norbeck Montessori

About

Links

Important Links

Contact

(301) 924-4233

info@norbeck.com

4500 Muncaster Mill Rd, Rockville, MD 20853