Class Sampler Registration
Let's start your child's Montessori journey! Register them for the Class Sampler using the form below.
Today's Date
-
Month
-
Day
Year
Date
Name of Parent or Guardian
*
Email Address
*
example@example.com
Mobile 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
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Name of Child
*
First Name
Middle Name
Last Name
Gender
Please Select
Male
Female
N/A
Date of Birth
*
-
Month
-
Day
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 )
Advanced Casa (5 years - 6 years)
4-Week Class Sampler Fee
4-Week Class Sampler Discounted Fee
Recommended Level:
Preferred Toddler Class Schedule:
*
8:30-10:00AM
12:00-1:30PM
Preferred Junior CASA Schedule:
*
8:30-10:30AM
12:00-2:00PM
Preferred Senior CASA Schedule:
*
8:30-10:30AM
12:00-2:00PM
Advanced CASA Schedule:
*
12:00-2:30PM
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)
Available Slots for ADV. PM Schedule (Use the dropdown to add your slot)
Would you like to be added to the waitlist in case all the available slots are taken?
Yes
No
Register Class
Should be Empty: