The Children's House - Montessori Pre-school does not discriminate against any person on the basis of race, religion, color, gender or national origin. We invite all children to come and be a part of this wonderful learning community. We invite families to become part of the "village that raises the child."

Your Name: *


Your Email: *


Date of Application: *


Which program(s) are you interested in?


When would you like to enroll your child? *


Name of child: *


Age of child: *


Child's date of birth: *


Boy/Girl: *
Boy
Girl

Father's name/ occupation/ telephone number: *


Mother's name/ occupation/ telephone number: *


Previous school experience: *


Child's physician and telephone number: *


Food or other allergies: *


Medication: *


List the names of two people. phone numbers, and relationship to the child that can be contacted in case of an emergency: *


List the names of people and relationship to child that your child may be released to: *

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