Today's Date

/ Month / Day Year

at

: Hour Minutes

School Year Applied For*

Age on Sept. 1st*

Student's Name*

First Name Last Name

Preferred First Name*

Gender*

Male Female

DOB*

Month Day Year

Home Phone*

- Area Code Phone Number

Does the student have any siblings?*

Yes No

If yes, pleae indicate age(s) and school(s) currently attending (N/A if none).

Student's Present Address*

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

School Last Attended*

Dates Attended*

1. Parent/Guardian*

First Name Last Name

Salutation*

Relationship*

1. Parent/Guardian Address*

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

1. Parent/Guardian Home Phone*

- Area Code Phone Number

1. Parent/Guardian Cell Phone*

- Area Code Phone Number

1. Parent/Guardian Email*

Employment Company*

Occupation*

Work Phone*

- Area Code Phone Number

2. Parent/Guardian

First Name Last Name

Salutation

Relationship

2. Parent/Guardian Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

2. Parent/Guardian Home Phone

- Area Code Phone Number

2. Parent/Guardian Cell Phone

- Area Code Phone Number

2. Parent/Guardian Email

Employment Company

Occupation

Work Phone

- Area Code Phone Number

Student Resides with*

Toddler and Primary Schedules (children 18 mos. - 6 yrs.). Please Indicate desired program and schedule.

Morning Only: 8:30-12:30 School Day: 8:30-3:00 Before Care: 7-8:30 a.m. After Care: 3-6 p.m.

Elementary School Schedule (ages 6 - 12)

School Day 8:15-3:15 Before Care: 7-8:15 a.m. After Care: 3:15-6 p.m.

Do you wish to apply for Financial Aid?*

Yes No

How did you learn about Escuela del Sol Montessori?*

Have you already had or scheduled a tour of the school?*

Type your full name to be used as your signature for this form.*

Escuela del Sol Montessori welcomes families and students of all races, creeds, national origins, sexual orientation, and political beliefs.

Escuela del Sol Montessori Pre-Admission Application