Boarding Student Annual Forms
Parents are encouraged to schedule a visit to see our Concord or Huntsburg campuses during the school day or during special visitor's days.

Program Application Forms are available on the Admissions Page.

Financial Aid application link is available on the Financial Assistance page

You may complete these forms by either Typing them out on your computer (preferred) or Printing the forms and filling them out by hand . If you choose to complete the forms using your computer, you may complete them online, then print them or save them to your computer for later completion. In either case Adobe Acrobat Reader does not allow you to save unfinished forms. If you should start a form and find yourself unable to complete it, minimize the window but do not close it; closing the window will cause the information to be lost.

When you have completed a form, print it (we suggest printing two copies -- one for your records and future reference). Please be sure all forms requiring a signature are signed. A list of forms for each campus is available by clicking on the link below.

Click the links below to download the forms (Forms due on May 15, 2015)

Boarding Student Annual Forms:

Adolescent Community Instructions & Checklist

1 Family Information

2 Grandparent Information

3 Student Release

4 Emergency Medical and Field Trip Authorization

5 Medical Statement and Immunization Data

6 Medication Release

7 Administration of Prescription Medication by School Personnel Permission

8 Release for Farm-Related Activities & Power Tools

9 Potassium Iodide

10 Student Parent Conference Form for Student

11 Student Parent Conference Form for Parents

12 Internet Usage Agreement

13B Boarding Student Supplies

14B Boarding Student August Arrival

15B Technology Policy and Agreement

16B Medical Treatment Permission

17B Parent Social Security Number

18B Vacation and Break Departure and Arrival Schedule

19B Annual Fee Schedule

Having Trouble?
If you experience difficulties either opening the forms, please send an email to staff@hershey-montessori.org for Concord Campus forms or hoffice@hershey-montessori.org for Huntsburg Campus forms

Contact / Directions
Huntsburg (The Farm)

© 2015 Hershey Montessori School
Concord Campus: 10229 Prouty Rd. Concord, OH 44077
Huntsburg Campus: 11530 Madison Road, Huntsburg Twp., Ohio 44046
440.357.0918 phone    440.357.9096 fax    staff@hershey-montessori.org

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