• Pre-Registration Form

    Pre-Registration Form

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  • If you have a second child you wish to enroll, please select "Yes" to fill out their information below.*
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  • Format: (000) 000-0000.
  • Is your Home Address the same as your Mailing Address?*

  • Parent / Guardian Information

  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.

  • Preferred Schedule & Start Days

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  • Please select one*
  • Who should be contacted when an opening becomes available?*
  • How did you hear about Patience Montessori School? Please check all that apply.

  • Additional Information (If Applicable)

  • Decree on File?

  • *By signing below, you agree that this is a legally binding form. Providing false information will result in termination of childcare services, and forfeiture of retainer.

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  • PLEASE INCLUDE THE NONREFUNDABLE $160 FEE (PER CHILD) WITH THIS PRE-REGISTRATION FORM TO CONFIRM YOUR SPOT ON OUR WAITLIST AND BEGIN THE ENROLLMENT PROCESS. Please note that this form is to place you on our waitlist, and it doesn't guarantee a classroom spot.

    Please use PayPal checkout to pay the calculated fee below. This fee is calculated based on whether you have one or two children registered on this form plus a credit card processing fee.

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    USD

  • Choose from one of the PayPal options to make your payment.

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