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Child

☐ M
☐ F

Parent / Guardian 1

Parent / Guardian 2

Guardian Info

Emergency Information

Please list any allergies or intolerance to food, medication, etc., and action to take in an emergency:
NamePhoneAddress
NamePhone
(Names and ages)
Does the child attend another school or program? If yes, give name of school/program and contact name/phone# (we may call for a reference):
Please list any past programs in childcare that your child has attended.
What do you expect your child to gain from the Montessori experience?

Program Needs

I wish to enroll my child in Woodland Montessori programming:

☐ Primary (3-6y): Morning (8:00am-1:00pm)
☐ Primary (3-6y): Full Day (8:00am-3:30pm)
☐ Primary Extended day (8:00am-5:30pm)
☐ Toddler (18m-3y): Morning (8:00am-1:00pm)
☐ Toddler (18m-3y): Full Day (8:00am-3:30pm)
☐ Toddler Extended day (8:00am-5:30pm)
☐ 2022-23
☐ 2023-24

Agreements

  1. The parent/guardian gives authorization for the child to participate in school’s transportation and field trips.
  2. Woodland Montessori School agrees to notify the parent/guardian whenever the child becomes ill and the parent/guardian will arrange to have the child picked up as soon as possible.
  3. The parent/guardian authorizes Woodland Montessori School to obtain immediate medical care if any emergency occurs when he/she cannot be located immediately.

Woodland Montessori School accepts any child whose family is interested in Montessori education as an approach to life. We attempt to achieve a balance of age, gender, and experience in the classroom. Applicants will be “interviewed” by the head guide/teacher and another school representative (board member or administrative head) to get a sense of how the child will function in the Montessori classroom. Each child must be able to participate and substantially benefit from our program without risk to him/herself or other children. Woodland Montessori School., Inc., reserves the right to deny entrance into the program based on the interview process, or to ask that a child be removed from the program after a trial period if the program does not appear to be a good fit for the student and other children.