Clear Form
☐ 2022-2023 School Year
☐ Preschool: 3 Mornings (8:25a-11:30a)
☐ Preschool: 3 Full Days (8:25a-3:30p)
☐ Preschool: 4 Full Days (8:25a-3:30p)
☐ Preschool: 5 Full Days (8:25a-3:30p)
☐ Kindergarten: 5 Full Days (8:25a-3:30p)
☐ Elementary 1st - 6th Grade
preschool, kindergarten, or 1st, 2nd, etc...
For 3 or 4 day options (3 day option must include Monday or Friday)

Student Information

☐ M
☐ F
3 year olds are required to participate in nap time.

Parent / Guardian 1

Parent / Guardian 2

Other than parents
NamePhoneEmail
Name

Medical Information

I (we) undersigned, parent(s)/guardian(s) of a minor do hereby authorize Sunrise Montessori School and its adult employees, to consent to any EMERGENCY x-ray, examination, anesthetic, medical, dental, or any EMERGENCY hospital care to said minor under the general supervision and upon advice of a physician. It is understood that this authorization in given in advance of any specific emergency diagnosis, treatment, or hospital care being required but is given to provide authority and power on the part of Sunrise Montessori School and its adult employees, to give specific consent to any and all such emergency diagnosis, treatment or hospital care which the aforementioned physician or dentist in the exercise of his best judgment deem advisable. It is understood that I (we), the parents, will assume financial responsibility for costs incurred for treatment and/or hospital care. This authorization will remain effective as long as my child is enrolled in Sunrise Montessori School.

Background information

Please list every school that your child has attended
What are your educational goals for your child? How do you see us facilitating these goals?
Our school serves children from 3 years old through elementary, what grades do you plan to have your child attend? What factors will impact your decision?
What role can we expect the child's parent(s)/guardian(s) to play in facilitating this child's educational goals?
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.
Are there any areas in which we may be able to give special help and encouragement to your child?

Policies and Agreements

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.

Type name below to sign application