aPPLICATION for admission

(If you would prefer to fill out a paper Admission Application Form, Please see below to download PDF.)

Enrollment Period

Child's Name

First Name

Last Name

Sex

Date of Birth

YYYY

Child's Current Age

Primary/Emergency Contact #

Home Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

Country

(###)

###

####

Father's Name

First Name

Last Name

Place of Employment

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Occupation

Business Phone

Country

(###)

###

####

Mobile Phone

Country

(###)

###

####

Mother's Name

First Name

Last Name

Place of Employment

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Occupation

Business Phone

Country

(###)

###

####

Mobile Phone

Country

(###)

###

####

Marital Status

Legal Custody of Child

Names and Ages of Siblings

Child's Previous Care/School Experience.

Please List:

Is your child Toilet trained?

Does your child have any allergies?

If Yes, Please List:

Do you have any concerns regarding your child’s development, abilities to learn and etc.?

If yes, please tell us your concerns:

And has your child been evaluated for these concerns?

Does your child have an Epi-Pen?

Does your child have any medical condition for which he/she is on medication permanently?

If yes, please explain:

Has your child been referred or evaluated for testing of any kind (academic, psychological, speech, hearing, etc.)?

Please tell us about your child’s strengths:

Please tell us about your child’s weaknesses:

What interested you in our program?

How did you hear about our program?

Please select your Montessori Program Schedule from the following:

Some Montessori Program Schedule selection may not be available according to current enrollments/emergency schedules or situations.

Do you require Extended Care for your child?

Some Extended Care Schedule selection may not be available according to current enrollments/emergency schedules or situations.

I agree to return my completed Application Form with a $70 non-refundable Application fee.

An Admissions officer will reach out to you to process your payment shortly. This fee is waived for re-enrollment.

Parent/Guardian Name & Signature

I agree that by writing my full names in CAPS herein will be my legal signature for purposes of using this online Prime Foundation Montessori Admissions Application Form, this e-signature will have the same effect as if I had signed my name or initials manually.

Today's Date

YYYY

If you would prefer to fill out a paper Admission Application Form, Please download PDF below.

Admissions Application Form PDF

aPPLICATION for admission

LocationS

Hours

Contact