Please complete this form. Upon completion, an Admissions Coordinator will contact you. 1 Step 1 Student Information Enrollment Interest Form I/ We request the admission of the below named child to attend Starting Point Montessori Center in accordance with the current policies of the school. Child's Name Middle Intial Last Name Date of Birthdate_range Gender Select An OptionMaleFemale Program Interestpick one! Select An OptionToddler (18 months - 3 years)Primary (3 - 5 years)Kindergarten (5 - 6 years)Summer School Program My Child Is To Start Schoolpick one! Select An OptionSchool Year ProgramSummer School Program Second Student Information Child's Name Middle Intial Last Name Date of Birthdate_range Gender Select An OptionMaleFemale Program Interestpick one! Select An OptionToddler (18 months - 3 years)Primary (3 - 5 years)Kindergarten (5 - 6 years) Family Information Child Lives Withpick one! Select An OptionBoth ParentsMotherFatherGrandparentsOther Family Members Mother's First Name Mother's Last Name Mother's Email Address Mother's Address City State Zip Code Phone Number Father's First Name Father's Last Name Father's Email Address Father's Address City State Zip Phone Number Has your child attended any other Childcare or Pre-School Program?pick one!YesNo If yes, list name of School or Daycare Has your child been identified as having a learning disability or other special need?pick one!YesNo If yes, please explainmore details0 / How did you hear about us?pick one! Select An OptionInternetWalk-inReferral FacebookOther Registration payment is pending enrollment approval by the Admissions Committee. If enrollment is not approved any paid registration fees will be refunded. Registration DisclaimerI acknowledge that I have read the disclaimer. Submit Form keyboard_arrow_leftPrevious Nextkeyboard_arrow_right FormCraft - WordPress form builder
