thelightofthechild-montessorischool.com

Print and Complete the form below.

Application for Admission Academic School Year: ________________

Name of Child_____________________________________________ Boy_______ Girl_______

Date of Birth__________________________________________ Age on 9/1/___ ____________

Home Address

_________________________________________________________________________________

Home Email__________________________________________ Home Phone__________________

Name of Father/Guardian___________________________________________________________

Occupation/Title___________________________________________________________________

Business Address__________________________________________________________________

Business Phone_______________________________ Cell Phone___________________________

Name of Mother/Guardian__________________________________________________________

Occupation/Title__________________________________________________________________

Business Address__________________________________________________________________

Business Phone_______________________________ Cell Phone___________________________

Name of Previous Schools attended and dates

________________________________________________________________________________

Names and Ages of Brothers and Sisters

________________________________________________________________________________

How did you hear about TLC Montessori?

________________________________________________________________________________

Do you have any special interest or talents you would like to share with the children or school?

_______________________________________________________________________________

What hours are you interested in for Attendance?

8:30 – 11:30am ______________________________________ (A.M. half school day)

12:00Noon – 3:00pm __________________________________ (P.M. half school day)

8:30 – 3:00pm ____________________________________ (Kindergarten/Full School Day)

* Please mail to: TLC Montessori School ,LLC 23 Doral Lane Martinsburg, WV 25405

*Registration Fee of $350 due with application