PLEASE BE ADVISED THAT NO ENROLLMENT FORMS FOR THE 2008-09 SCHOOL YEAR WILL BE ACCEPTED BEFORE JANUARY 13TH. IF YOU WISH TO SEND YOUR FORM IN PLEASE MAKE SURE IT DOES NOT ARRIVE BEFORE THE 13TH. ALL THOSE ARRIVING BEFORE THAT DATE WILL BE ADDED TO OUR LIST AFTER FORMS LEFT AT OUR OPEN HOUSE OR ARRIVING TO THE SCHOOL ON JANUARY 13TH. YOU ARE ALSO WELCOME TO DROP YOUR FORMS OFF ON MONDAY MORNING THE 14TH BEGINNING AT 7:00 A.M.
Date: _________________
MIDLAND MONTESSORI SCHOOL 2008 - 2009
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: ________________________________