Enrollment

In order to enroll at The Children’s Academy Montessori Preschool, applicants must first submit an Application for Enrollment and take a tour. At that time, one will either be enrolled or place on our wait list.

The Children’s Academy Montessori Preschool

Application For Enrollment

Circle One: Primary / Toddler

Requested Start Date:______________

Registration Paid : Y / N

Parents:

Mother/Legal Guardian:

_________________________________________________________________________________

Last Name/ First Name/ DOB

single/married/divorced

Contact Info:

_________________________________________________________________________________Home phone/Cell

_________________________________________________________________________________Email

_________________________________________________________________________________Home Address

_________________________________________________________________________________Place of Employment

______________________________________________

Employer’s Name Phone Number

Father/Legal Guardian:

_________________________________________________________________________________

Last Name/ First Name/ DOB

single/married/divorced

Contact Info:

_________________________________________________________________________________Home phone/Cell

_________________________________________________________________________________Email

_________________________________________________________________________________Home Address

_________________________________________________________________________________Place of Employment

______________________________________________

Employer’s Name Phone Number

Child:

_________________________________________________________________________________

Name: First, Last /DOB

Child lives with: Both Parents/Mom/Dad/Grandparents/LegalGuardian

________________________________________________________________________________

Address (if different than parents)

Please List:

Other Adults in the Home: Relation to Child Other Siblings: Names & Ages

____________________________________ _________________________________________

____________________________________ _________________________________________

____________________________________ _________________________________________

____________________________________ _________________________________________

Please briefly describe what types of social experiences your child(ren) has had:

______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Please describe the primary reasons you are currently seeking Preschool for your child(ren)?:

______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

How did you hear about The Children’s Academy?

____________________________________________________________________________________________________________________________________________________________________________________

We are interested in (circle one):

2 Day Part Time

3 Day Part Time

Full Time