Clear Form
☐ Extended Day
☐ Full Day


☐ Female
☐ Male
☐ Non-binary
☐ Other:

First Parent/Guardian (Main Point of Contact)

Second Parent/Guardian

Our Commitment to Equity

In line with Wildflower’s equity principle, it is important for us to understand the backgrounds of the families we seek to serve.

We use this information in aggregate to open new Wildflower schools in underserved communities, raise money to support schools and reflect on our progress to serve a diverse community.

Please share as openly as you are comfortable, for the home that the child spends the majority of their time in. Thank you.

What is the language most often spoken in your household? If none of the options below are descriptive, please select "other" for a freeform option.
☐ Arabic
☐ Armenian
☐ Bantu (Including Swahili)
☐ Begali
☐ Burmese
☐ Cantonese
☐ English
☐ French
☐ German
☐ Greek
☐ Gujarati
☐ Haitian - Creole
☐ Hebrew
☐ Hindi
☐ Hmong
☐ Italian
☐ Japanese
☐ Karen
☐ Khmer
☐ Korean
☐ Mandarin
☐ Navajo
☐ Persian (including Farsi and Dari)
☐ Polish
☐ Portuguese
☐ Punjabi
☐ Russian
☐ Serbo-Croatian (including Bosnian, Croatian, Montenegrin and Serbian)
☐ Spanish
☐ Tagalog
☐ Tai-Kadai (including Thai and Lao)
☐ Tami
☐ Telugu
☐ Urdu
☐ Vietnamese
☐ Other:
Select one or more of the options below which you feel best describe your child. If none of the options below are descriptive, please select "other" for a freeform option.
Answer YES, if your yearly household income is below these numbers:
Household Size2345678
Annual Income Threshold$33,874$42,606$49,025$60,070$68,802$77,534$86,266
For each additional family member, add $8,732.

Background Information

How did you hear about the Wildflower Network and our school?
Please tell us about the child’s regular adult caregivers, including parents. For each adult, include the name, relationship to the child, and current employment. Please complete for each adult who regularly cares for your child in your home or theirs.
How many children are in your family, and how old are they?
Tell us about your child’s disposition. What is your child’s temperament and learning style? What five words would you use to describe your child?
Describe your child’s social style. How quickly or slowly does your child acclimate to new environments? Does your child generally prefer to engage with a few trusted people or to explore new settings independently?
Describe your parenting styles. In what ways are your styles similar? In what ways are they different? (If there is only one parent/guardian involved in child-raising, please disregard the second two parts of this question.)
Describe a typical weekday at your house. If you have a typical morning routine and/or evening routine, please describe those as well.
How does your family spend a typical weekend day?
Describe your ideal school and your ideal relationship between family and school. Why have you chosen Wildflower as a possible match for your family?
What other schools are you considering?
What attracts you to Montessori education? If you have any previous Montessori experience please describe it. Until what age do you plan to send your child to a Montessori school?
Has your child been referred to or seen a speech or occupational therapist, educational psychologist, or other specialist? Please describe the circumstances. We request this information so as to determine how we might best serve your child.
A key aspect of Wildflower Schools is regular involvement from families and caregivers, on the order of several hours per month. Do you anticipate any challenges to this level of involvement in the school?
Families offer diverse experiences and unique gifts that strengthen school communities. Are there special skills or opportunities your family brings that could enrich our program?
If there is anything else that you would like us to know about your family, please use this space to tell us.
If there is anything else that you would like us to know about your child, please use this space to tell us.

Non-Discrimination Policy

Our school admits students of any race, color, national and ethnic origin to all the rights, privileges, programs, and activities generally accorded or made available to students at the school. It does not discriminate on the basis of race, color, national and ethnic origin in administration of its educational policies, admissions policies, scholarship and loan programs, and athletic and other school-administered programs.