Infant and Toddler Application
Child's Information
Child's Name (For children not yet born use "Baby" as a first name if a name has not been chosen.)
First Name
Last Name
Child's Date of Birth (Or Expected Due Date)
-
Month
-
Day
Year
Date
Gender
Female
Male
Child's Primary Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Child's Current School/Daycare
Dates of Enrollment
Please Check Program Desired
Infant (6 weeks to 14 months)
Toddler (15 to 35 months)
Please list the month and year you are hoping to begin your enrollment.
Have you attended a tour?
Yes
No
Parent/Guardian Information
Parent/Guardian 1
First Name
Last Name
Parent/Guardian 1 Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Parent/Guardian 1 Cell
Please enter a valid phone number.
Format: (000) 000-0000.
Parent/Guardian 1 Email
example@example.com
Parent/Guardian 1 Occupation
Parent/Guardian 1 Employer
Parent/Guardian 2
First Name
Last Name
Parent/Guardian 2 Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Parent/Guardian 2 Cell
Please enter a valid phone number.
Format: (000) 000-0000.
Parent/Guardian 2 Email
example@example.com
Parent/Guardian 2 Occupation
Parent/Guardian 2 Employer
Check Appropriate
Parents Married
Co-Parents
Parents Separated
Parents Divorced
Single Parent
One Parent Deceased
Parent Remarried
If divorced or separated, who has primary custody?
Names and birthdates of siblings:
Parents' Perspective
At Alcuin, we value open communication and the partnership between parents and the school. In our efforts to appreciate the uniqueness of each child and help to ensure a smooth transition into our community we invite you to comment on your child’s strengths, interests and special needs as appropriate in the space below.
What do you think are your child's most important needs in a school setting?
What aspects of Alcuin’s program do you feel will be beneficial to your child?
What are your strengths and needs as a parent?
What is the most important aspect of your decision to apply to Alcuin?
Describe your ideal teacher and school:
Briefly describe your child’s sleeping and eating schedule/habits:
Please describe your child’s previous school or daycare experience:
In what ways would you hope to volunteer and serve the Alcuin community?
Does your child have any academic, emotional, or physical conditions that would require special consideration?
Yes
No
If yes, please explain:
Is your child currently receiving specialized medical treatment or taking medication regularly?
Yes
No
If yes, please summarize:
Cultural Heritage (Optional)
Alcuin Montessori is committed to diversity. We honor and respect all racial, cultural, and ethnic groups. Alcuin Montessori does not discriminate on the basis of race, religion, sexual orientation, gender identification, or creed.
Choose all which apply:
Asian
Black
Latina/e/o/x
Multi Racial
Native American
Pacific Islander
White
Other
I confirm that I am completing this application to the best of my ability and with the most up to date information about my child.
Check box
Submission and Payment
Submitting an application does not guarantee admission. Note, an application will not be considered complete or active without the application fee. Upon clicking submit below you will be redirected to the application fee payment page. After submitting your application, someone will be in touch within 24-48 hours with next steps. Thank you.
Submit
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