Clear Form
☐ 2022-23
(If enrolling after the beginning of the school year)
☐ Primary (3-6y): Morning (8:30am-12:00)
☐ Primary (3-6y): Full Day (8:30am-3:30pm)


☐ M
☐ F
☐ Prefer not to answer

Caregiver 1

Caregiver 2

Background information

Please include how many days/hours per week.
☐ Yes
☐ No
☐ Somewhat
What role can we expect the child's caregivers to play in facilitating this child's educational goals?
Each year we require new families (and welcome returning families)to attend a 4-part series of Adult Caregiver Education workshops. Do you have specific questions or concerns you would like to see addressed during this program?
The Montessori Children's House curriculum is a 3-yr cycle, including what is traditionally seen as the 'Kindergarten' year.
Include their ages, and if they attend school, the name of that school
Do you take from or subscribe to any particular parenting philosophy? Do you seen alignment between your philosophy and that of Montessori?
Do you use any kind of rewards or consequences for appropriate and/or inappropriate behavior?
Who, besides yourself, is entrusted with the regular care of your child?
Please address personality, likes/dislikes, how he/she reacts to new situations, and experiences (if any) with separation from parents.
If not, please let us know if you need help finding the appropriate screening agency for your school district
Does your child have any specific special needs (educational, medical, or psychological)? Has your child received any testing or evaluations that would relate to their academic or social performance? Please send, or have sent, results/recommendations of such tests or evaluations that your child has taken. We will use this information to determine how we can best support your child.
Please describe, in general terms, your child's daily routine
What kind of self care activities (dressing, washing, etc) is your child able to do by themselves? Does your child use the bathroom independently?

Non-Discrimination Policy

We value diversity among our students. We do not discriminate in our enrollment policies on the basis of race, color, gender, religion, sexual orientation, national or ethnic origin.