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Registration Package
January 22, 2025
Registration Package
Apply online today!
Registration Package
1
Head Start Montessori and Private School Registration Form
Date of admission
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Student Information
First name
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Last name
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Date of birth
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Sex
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Address
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City
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Postal code
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Telephone (home)
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Previous school
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Languages spoken at home
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Please indicate program and other preferences
Will your child require an afternoon nap?
My child requires an afternoon nap
My child does not require an afternoon nap
Will your child require extended care?
My child requires extended care
My child does not require extended care
Will your child require before/after school care?
My child requires before/after school care
My child does not require before/after school care
Parents Information
Mother / Guardian
First name
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Last name
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Address (If different than child):
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Telephone (home)
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Telephone (cell)
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Email address
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Father / Guardian
First name
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Last name
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Address (If different than child):
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Telephone (home)
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Telephone (cell)
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Email address
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Siblings
First name
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Sex
full name
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Date of birth
make a booking
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First name
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Sex
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Date of birth
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Submit Form
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