Children’s House - Application Form

Please be sure to read the City Country School Handbook (Download here English Version or Spanish Version ) applying for admission. Please answer the following questions to help us learn more about your family and child. All information you provide will remain confidential. We believe that parents know their child best, so we trust that your answers will help us to work better with your child. Thank you.

*City Country School follows the American system to determinate what grade your child is in; The cut-off date is September 1. The transition from Children’s House to Elementary depends upon the child’s date of birth and preparedness, as well as the availability of a place in Elementary.

Child’s Full Name:

First Name

Last Name

Child’s Birthday*:

YYYY

Child’s Birthplace:

Child’s Address:

What language(s) is (are) spoken at home?

Allergies/ Medical treatment/ Dietary Restrictions, if any:

Parent's/ Guardian's Full Name:

First Name

Last Name

Parent's/ Guardian's Address (if different from child):

Parent's/ Guardian's Email:

Parent's/ Guardian's Telephone:

Parent's/ Guardian's Full Name:

First Name

Last Name

Parent's/ Guardian's Full Address (if different from child):

Parent's/ Guardian's Email:

Parent's/ Guardian's Telephone:

How did you hear about us?

1. Why do you want your child to attend City Country School?

2. When you think about sending your child to school what are your fears/worries, if any?

3. What do you know about Montessori? Why are you choosing Montessori?

4. Please describe your child’s personality.

5. What was your own experience in school? Do you have happy memories of school? Do you have unhappy memories of school? What would you change about your own school experience if you could?

6. What skills or interests do you have that you could share with the school community? (for example: you play the guitar, you are a talented baker, you can use a printing press, you can identify plants, you are tech-savvy...).

7. Please try to describe what your child likes to do. Which are her/ his favorite toys, what is she/ he interested in?

8. How would you describe the beginning of your child’s life? (Pregnancy, birth, first months, ...)

9. Tell us about your child’s eating habits (eats a lot/ bit, favorite food, ...)

10. Do you think your child needs to rest after lunch?

11. Is there anything else about your child that you would like us to know?

Parent(s)/ Guardian Signature

Date Submitted

YYYY

"El representante legal del alumno queda informado y consiente el tratamiento de los datos que facilita. El responsable del tratamiento de los datos de carácter personal es City Country School, S.L. con domicilio social en Calle Isla Soledad 2, 28035 Madrid. La finalidad de los datos recogidos es la reserva de plaza y las comunicaciones derivadas de esta solicitud. Le informamos de que los campos solicitados son necesarios y de que en caso de negarse a facilitar los mismos, no se podrá proceder al cumplimiento de las finalidades previstas. Los datos de los alumnos serán conservados durante el tiempo necesario para dar cumplimiento a la finalidad para la que fueron recabados y en su caso, durante el tiempo que normativamente se disponga que sea necesario. El art. 8 del Reglamento (UE) 2016/679 establece que el tratamiento de los datos personales de un niño se considera lícito cuando tenga como mínimo 16 años. Si el niño es menor de 16 años, tal tratamiento únicamente se considera lícito si el consentimiento lo dio o autorizó el titular de la patria potestad o tutela sobre el niño, y sólo en la medida que se dio o autorizó. El interesado o su padre, madre o tutor, podrá ejercer gratuitamente los derechos de acceso, rectificación, cancelación, oposición, limitación y portabilidad, mediante correo electrónico dirigido a la secretaría del centro en la dirección info@citycountryschool.org y acompañado del DNI del padre, madre o tutor. Asimismo, si considerara que cualquiera de sus derechos ha sido vulnerado, podrá presentar reclamación por el tratamiento realizado ante la Agencia Española de Protección de Datos."