School Registration Form

Afterschool Meal Registration
Lion on Judah Montessori
Additional documents for registration

Complete this registration form and upload the following documentation.

• Parent's Identification Card
• Current Proofs of Residence (ex. power, water or gas bill)
Student Information
Name

First NameLast Name
Birth Date

MonthDayYear
School Name
Grade
Gender
Ethnicity
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Current Residence Information
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Home Phone Number

Area CodePhone Number
Parent/Guardian Information (if different from above)
Name

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email Address
Our WebsiteSocial MediaCommunity Partner ReferralDISD SchoolOther

Emergency Contact 1
Name

First NameLast Name
Phone Number

Area CodePhone Number
Email
example@example.com
Emergency Contact 2
Name

First NameLast Name
Phone Number

Area CodePhone Number
Email
example@example.com

Notes
Please upload parent's Identification card

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Please upload proof of address

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Should be Empty: