Class Sampler Registration
Let's start your child's Montessori journey! Register using the form below. Note that the Class Sampler runs from July to February of each school year.
Today's Date
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Name of Parent or Guardian
*
Email Address
*
example@example.com
Mobile Number
-
Phone Number
Address 1
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Address 1
*
House no., Street Name,
Address 2
City
Address 2
*
City
Back
Next
Name of Child
*
First Name
Middle Name
Last Name
Gender
Please Select
Male
Female
N/A
Date of Birth
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Date of Birth
Age of Child
Age
PROMO CODE
Discount %
Is your child attending therapy?
*
Yes
No
If you answer 'Yes,' please select the relevant option and provide a brief explanation in the comment box below.
Developmental Delays
ADHD
ASD
Others
Comment Box:
Choose Level
Toddler (18 months - 2 years)
Junior Casa (3 years)
Senior Casa (4 years )
Spark Program
Preferred Toddler Class Frequency
3 times a week
5 times a week
Preferred Casa Class Frequency
3 times a week
5 times a week
2-Week Class Sampler Fee
4-Week Class Sampler Discounted Fee
Recommended Level:
Preferred Toddler Class Schedule:
*
8:30-10:00AM
11:30-1:00PM
Preferred Junior CASA Schedule:
*
8:30-10:30AM
11:30-1:30PM
Preferred Senior CASA Schedule:
*
8:30-10:30AM
11:30-1:30PM
Available Slots for Toddler AM Schedule (use the dropdown to add your slot)
Available Slots for JC AM Schedule (use the dropdown to add your slot)
Available Slots for SC AM Schedule (input "1" to add your slot)
Available Slots for Toddler PM Schedule (input "1" to add your slot)
Available Slots for JC PM Schedule (Use the dropdown to add your slot)
Available Slots for SC PM Schedule (Use the dropdown to add your slot)
sampler_status
Would you like to be added to the waitlist in case all the available slots are taken?
Yes
No
Register Class
Should be Empty: