Registration Package

 

1
Head Start Montessori School Registration Form

Date of admission

date_range
Student Information

First name

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Last name

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Date of birth

date_range
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?

Will your child require extended care?

Will your child 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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Sexfull name

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Date of birthmake a booking

date_range
First name

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Sex

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Date of birth

date_range
 

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