Montessori Children's House - A Montessori Center on Portland's Riverfront
Home Page About Us About Montessori Classes/Schedules Enrollment/Tuition Photo Gallery Location Contact Us
Initial Information Form Application for Enrollment Toddler Tuition Primary Tuition
Application for Enrollment DOWNLOAD PRINTABLE FORM


CHILD'S INFORMATION:

FIRST NAME
 
LAST NAME
 
MIDDLE INITIAL
 

PREFERRED NAME (if different)
GENDER
Male        Female
BIRTHDAY (mm/dd/yy)
/ /

INTENDED START DATE (mm/yy)
/

PROGRAM APPLYING FOR:
Primary Half-Day (8:30am-12:15pm) Primary Extended Day (8:30am-3:00pm) Primary Full Day (8:30am-after 3:00pm)
Toddler Half-Day (8:30am-noon) Toddler Extended Day (8:30am-2:45pm) Toddler Full Day (8:30-after 3:00pm)



PARENT/GUARDIAN INFORMATION:

PARENT/GUARDIAN #1

FIRST NAME

LAST NAME

ADDRESS
 

CITY / STATE / ZIP
/ /

HOME NUMBER
CELL NUMBER
WORK NUMBER

EMPLOYER

PARENT/GUARDIAN #2

FIRST NAME

LAST NAME

ADDRESS (if different)
 

CITY / STATE / ZIP
/ /

HOME NUMBER (if different)
CELL NUMBER
WORK NUMBER

EMPLOYER



PREFERRED CONTACT EMAIL ADDRESS(ES)

SIBLINGS (NAMES AND AGES)

To help us better serve you and your child, please answer the following questions as completely as possible.

Please tell us a little about your child. You might include your observations on personality, activities your child enjoys, social tendencies, strength and challenge areas, or any other information that you think we should know.



Please comment on why you are choosing a Montessori program. What are your hopes and expectations for your child's experience? What are your educational goals for your child?



Does your child have special needs of which we should be aware?



Has your child ever had a psycho-educational or speech/hearing evaluation? If yes, please explain.



Upon acceptance of your application, you will be required to pay a non-refundable, one-time, registration fee of $250. You will also need to complete a form with more detailed emergency contact and health information.

Montessori Children's House does not discriminate on the basis of race, color, sexual orientation, national or ethnic origin, religion, or family structure in its admissions policies, administration or educational policies.


Enter the letters you see below in the box below:




Copyright © 2011-2017 Montessori Children's House. Legal Information.
Websystem design and hosting provided by WolfPk.
Visit WolfPk