Names and ages of other children in the family: _________________________________
In case the parents cannot be reached, please contact: (name, phone #, relationship):
My child may be released to the following people (I.D. will be required). Any other pick up arrangement requirement requires a signed note by the parents or guardians:
In completing this form and signing below, we confirm our desire to accept and cooperate fully with the philosophy and rules of the Eastern Shore Montessori School. We will give 30 days advance written notice to the school if we decide to withdraw our child from the school and will pay the prorated portion of the next month’s tuition as we understand that the school’s financial obligations are not lessened by the withdrawal of our child. In addition to this form, enrollment requires a signed 30 Day Review Declaration, a notarized affidavit, a signed Parent Handbook agreement and a signed Parental Consent Form. An Alabama Certificate of Immunization is required before attendance.
We have enclosed a non-refundable registration fee of $150.00 payable to the Eastern Shore Montessori School, with the signed application, signed 30 Day Review Declaration, a signed Discipline Policy and signed Parental Consent Form.