Application for Admission

Clear Form

Student Information

☐ not currently enrolled in school
☐ 3 year old preschool
☐ 4 year old preschool
☐ Kindergarten
☐ 1st grade
☐ 2nd grade
☐ 3rd grade
☐ 4th grade
☐ 5th grade
☐ 6th grade
☐ 7th grade
☐ Other:
☐ M
☐ F
☐ prefer not to identify
☐ Extended Day (includes before & after care)
☐ Full Day
☐ Half Day (3 & 4 year olds only)
☐ 2019 Summer
☐ 2019-20
☐ 2020 Summer

Parent / Guardian 1

Parent / Guardian 2

(if different than above)

Background information

Please also list additional schools that your child has attended
Does your child have any special needs (educational or medical)?
Please share with us some reasons why your student/family is interested in Roots Montessori:
By typing your name in the box below, you attest that the information provided in this application is an honest and accurate representation.