Apply to Montessori Escuela

Montessori Escuela's Student Application

Tell us more about your child and family so that we can provide you with additional enrollment information. We look forward to hearing from you.

Students First Name

Students Last Name

Home Address

Phone Number

Child's Birthday

Month

Day

Year

Town of Birth

Pediatrician Information

Pediatrician Name

Pediatrician Address

Pediatrician Phone Number

Does the applicant have siblings?

Has the child attended preschool previously? If so, where?

Is English spoken at home?

Any other languages? If yes, which languages?

Parent #1-Information

Parents Full Name

Date of Birth

Cell Phone (primary contact)

Email Address

Occupation

Work Location

Hours per week

How did you find out about Montessori Escuela, LLC?

Parent #2-Information

Parents Full Name

Date of Birth

Cell Phone (primary contact)

Email Address

Occupation

Work Location

Hours per week

Emergency Contact-Authorized Pick-Up Person

n the event of an emergency when I may not be reached, the Educator (Montessori Escuela, LLC) may contact the following individuals (in the order given) whom I authorize to take my child from the child care/school premises.

Child

Contact Name #1 (First and Last Name)

Phone Number

Address

Contact Name #2 (First and Last Name)

Phone Number

Address

Transportation Plan-Authorized Pick-Up

Parents are responsible for the drop-off and pick-up of their child to and from our program. I additionally authorize the following individuals to take my child from the childcare premises. (Please let us know at the beginning of the school day when your child will be picked up by one of the following authorized individuals.)

Contact Name #1 (First and Last Name)

Phone Number

Address

Contact Name #2 (First and Last Name)

Phone Number

Address

Additional Information

Please explain your interest in our Spanish Immersion Montessori Program.

Do you intend to have your child attend all 3 years of his/her Montessori cycle, including Kindergarten?

Please tell us about your child.

What activities does he/she enjoy? Has your child been in preschool or any other group extracurricular activities prior to enrolling in our program? If so, where? What are your child’s favorite hobbies, dislikes, etc.

Medical History

Are there any medical issues we should be aware of? Any medications illnesses, surgeries, etc.?

Nutritional Requirements

Does your child have any allergies or nutritional requirements that we should know of?

Identification Regulations

Regulations by the State of Massachusetts recommend a physical description (height, hair color, eye color, etc.) and photograph of enrolled students for emergency purposes. Please attach below.

Description

**Please indicate your preferred schedule for your child’s enrollment.

8:45 - 3pm: Regular School Day

8 - 3pm: Regular School Day with Early Care

8:45 - 4pm: Regular School Day with 1 hour of Aftercare

8 - 4pm: Regular School Day with Early Care & 1 Hour of Aftercare

8:45 - 5pm: Regular School Day with 2 hours of Aftercare

8 - 5pm: Regular School Day with Early Care & 2 Hours of Aftercare

3 - 5pm: Spanish Immersion after-school program

***Do you plan to have your child attend summer camp?

Upload Child's Photo

Notice of non-discrimination

Montessori Escuela, LLC does not discriminate on the basis of age, race, color, gender, religion, national origin or disability in its program admissions or educational services.