Growing Tree Montessori Preschool
31935 Via Rio Temecula Road, Temecula CA 92592 P: 951.900.8999 E: Info@growingtreeus.com www.growingtreeus.com
APPLICATION FORM
Name
*
Child's First Name
Middle Name
Child's Last Name
Child's Age
*
DOB
*
Gender
*
Boy
Girl
Address
*
Start Date
*
/
Month
/
Day
Year
Date
Program
*
Nest(0-2yr)
Pre-Primary(2yr-3yr)
Primary(3yr-5yr)
Adv-Primary
School Age(6yr+)
Schedule
Full Days 7:00am-6:00pm
5 Days
4 Days(Mark the prefer days below)
3 Days(Mark the prefer days below)
2 Days(Mark the prefer days below)
Monday
Tuesday
Wednesday
Thursday
Friday
Hall Days 8am-12/12-5pm
5 Days
4 Days(Mark the prefer days below)
3 Days(Mark the prefer days below)
2 Days(Mark the prefer days below)
Monday
Tuesday
Wednesday
Thursday
Friday
Other Schedule
List any allergies
Parent/Guardian
Parent/Guardian #1 Primary
*
First Name Last Name
Cell
*
Email
*
example@example.com
Address(If different from above)
Employer & Occupation
*
Business Phone
*
Format: (000) 000-0000.
Parent/Guardian#2
First Name Last Name
Cell
Email
example@example.com
Address(If different from above)
Employer & Occupation
Business Phone
Format: (000) 000-0000.
Emergency Contact
In case of Emergency and Parent(s) cannot be reached
Emergency Contact #1
*
First Name Last Name
Phone
*
Format: (000) 000-0000.
Relationship
*
Emergency Contact #2
First Name Last Name
Phone
Format: (000) 000-0000.
Relationship
My child has attended a preschool:
My child has attended a preschool
*
Yes
No
If yes, where and when
How did you heard about us
Yelp
Google
Facebook
Flyer
Refer
Other
Parent/Guardian Signture
*
Sign Date
*
-
Month
-
Day
Year
Date
Preview PDF
Continue
Continue
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