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FREE Pivot Book
Home
About Us
About Montessori
The Buzz
Parent Voice
Community Voice
Parent Portal
Our Staff
Employment
Other Links
Academic Programs
Infants (3-12 Months)
Pre-Primary (1-3 Years)
Primary (3-6 Years)
Lower Elementary (6-9 Years)
Upper Elementary (9-12 Years)
Summer School
Parent Folder
Admission
Online Application For Admission
Downloadable Application For Admission
Blog
Contact Us
Home
/
Online Application For Admission
Online Application For Admission
admin
2015-10-02T05:49:33+00:00
Admission
Montessori Cleveland's Online Admission Form. Please complete the form. At the end you will be required to pay $50 registration fee and $200 materials fee to submit the application. If you need any assistance, please contact support@MontessoriCleveland.com
Step 1 of 10
10%
Child's Name:
*
First
Last
Child's Nick Name/Called:
Birthdate:
*
Current Age:
*
Gender:
*
Photo of Child:
*
Address
*
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Social Security Number:
Health Care/Insurance:
*
Birthmarks/allergies/other pertinent information:
*
Child resides with:
*
Name of Previous Schools Attended:
*
Dates Attended:
*
Name of Previous Schools Attended:
Dates Attended:
Emergency Contact:
*
First
Last
Phone Number
*
Signature of Parent/Guardian:
*
Date:
*
Date Format: MM slash DD slash YYYY
Physician's Name:
*
Address
*
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Office Phone Number:
*
Sibling's Name:
First
Last
Gender:
Birthdate:
Sibling's Name:
First
Last
Gender:
Birthdate:
Mother's Name:
*
First
Last
Mother's Residence:
*
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Home Phone:
*
Business Phone:
Cell Phone:
Email:
*
Occupation:
Business / Name of Company:
Father's Name:
*
First
Last
Father's Residence:
*
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Home Phone:
*
Business Phone:
Cell Phone:
Email:
*
Occupation:
Business / Name of Company:
Name of persons authorized to pick up child:
*
First
Last
Residence:
*
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Phone Number:
*
Relationship to Child:
*
Driver's License Number:
*
Name of persons authorized to pick up child:
First
Last
Residence:
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Phone Number:
Relationship to Child:
Driver's License Number:
No child will be permitted to leave the school with any person without prior written consent from the parent/guardian listed on this form. The school will require a copy of the driver's license of all persons authorized for pick up.
How did you hear about The Montessori School of Cleveland?
Date:
*
Date Format: MM slash DD slash YYYY
Signature:
*
I understand that the registration fee and material fee are non-refundable and non-transferrable.
Registration Fee:
*
Price:
$50.00
Materials Fee:
*
Price:
$200.00
Total
$0.00
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