MIDLAND MONTESSORI SCHOOL
A Non-profit organization
5709 Eastman Avenue , Midland, Michigan 48640
989-835-3921

 
TOMORROW'S CHILD
 
 
 
Date:  _________________





MIDLAND MONTESSORI SCHOOL
2010-2011

Registration Fees: $175 for all programs

All registration fees are non-refundable
Sorry, No Exceptions



Child's Name: _____________________________ Nick Name: ____________ Date of Birth: ___________ Male/Female Program: _____________________ Home Address: _________________________________ Zip: ____________ Home Phone: _____________________ E-Mail Address: ________________ Father's Name: ______________________ Social Security Number: _____________ Home Address (if different): ___________________________________________ Work Phone: _________________________ Cell Phone: _____________________ Occupation: _____________________ Place of Employment: ___________________ Are you willing to be contacted for occupation associated advice? ____ Yes ____ No Mother's Name: _______________________ Social Security Number: ____________ Work Phone: _________________________ Cell Phone: _____________________ Occupation: _____________________ Place of Employment: ___________________ Are you willing to be contacted for occupation associated advice? ____ Yes ____ No Referred By: ________________________________ Reduced tuition opportunities are available. Families in financial need should contact
the Director for more information.