Clear Form
☐ 2020/2021
☐ 2021/2022
☐ 2022/2023
☐ Toddler (18 mo-3 years) Monday, Tuesday, Wednesday
☐ Toddler (18 mo-3 years) Wednesday, Thursday, Friday
☐ Toddler (18 mo-3 years) 5 days
☐ Primary (3-6 years) Half-Day
☐ Primary (3-6 years) Full-Day
☐ Primary (Kindergarten) Full-Day
☐ Lower Elementary (Grade 1)
☐ Lower Elementary (Grade 2)
☐ Lower Elementary (Grade 3)
☐ Upper Elementary (Grade 4)
☐ Upper Elementary (Grade 5)
☐ Upper Elementary (Grade 6)
☐ Middle School (Grade 7)
☐ Middle School (Grade 8)

Child

☐ M
☐ F

Parent 1

Parent 2

Background information

☐ Married
☐ Separated
☐ Divorced
☐ Domestic Partners
Please list every school that your child has attended
Please describe your child's educational experience thus far. What has been successful? What has been challenging?
Has your child had any remedial work, special tutoring, or enlightenment classes in the past two years? Please explain.
Does 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? Please have copies sent of tests or evaluations that your child has taken.

Non-Discrimination Policy

Holy Trinity Montessori does not discriminate on the basis of race/ethnicity, color, national origin, sex, and disability, in the administration of any of its educational programs, admissions policies, and other school administered programs.

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