Toddler Wait List Form
Today's Date
*
/
Month
/
Day
Year
Date
Child's Name
*
First Name
Last Name
Date of birth
*
-
Month
-
Day
Year
Date
School Year Waiting For (your child must be 18mths by the anticipated start date):
*
Please Select
Sept 2024
Jan 2025
Sept 2025
Jan 2026
Sept 2026
Request
*
Full Day Toddler (8:30am-4:00pm)
Half Day Toddler (8:30-11:30am)
Do you require extended care (for an additional fee)?
*
Before Care (8-8:30am)
After Care (4-5pm)
Both Before and Aftercare
Extended Care in NOT required
Parent/Guardian #1 Name:
*
First Name
Last Name
Relationship to the child:
Parent/Guardian #1 Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Parent/Guardian #1 Phone Number
*
Please enter a valid phone number.
Parent/Guardian #1 Email
*
example@example.com
Parent/Guardian #2 Name
First Name
Last Name
Parent/Guardian #2 Address
Parent/Guardian #2 Phone Number
Please enter a valid phone number.
Parent/Guardian #2 Email:
example@example.com
What are you looking for in a school? What do you hope your child gains from this experience?
*
What do you know about the Montessori Philosophy?
*
What aspects of Montessori do you incorporate into your homelife?
*
Is there any other information about your child that would be helpful for us to know? (i.e.: allergies/medical needs, referrals for speech or other referrals made, personality, etc.)
*
How did you hear about Nelephant?
*
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