The Montessori Country School Application

Clear Form

Session*

Program Option*

Requested Start Date*

Child

Child Name *

Birthday*

Child Gender

Parent / Guardian 1

Name *

Address*

Home Number*

Mobile Number*

Parent1 Email*

Parent / Guardian 2

Name *

Address*

Home Number*

Mobile Number*

Parent2 Email*

Background information

How did you hear about us?

Siblings

Previous Schools or Child Care CentresPlease list any schools or child care centres your child has previously attended

Educational GoalsWhat are your educational goals for your child? How do you see us facilitating these goals?

Social/Emotional/Language DevelopmentHow do you see your child in their social, emotional and language development?

Allergies and/or Food RestrictionsDoes your child have any allergies or food restrictions? Do they require any medication for these?

Special Needs and/or Medical ConditionsDoes your child have any special needs (educational, medical, or psychological)? Has your child received any testing or evaluations that would relate to their academic or social performance?

How do you prefer to be contacted?*

Phone

Upon receipt of your application, our Admissions Director will contact you to advise of the process for acceptance of your application and enrolment requirements.