Little Explorers Montessori
Preschool Questionare
Child's Name
First Name
Last Name
Parents Name
First Name
Last Name
How old is your child?
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
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Start Date
-
Month
-
Day
Year
Date
Little Explorers Montessori
Full time (M-F) 5 days a week
Part time (M,W,F) 3 days a week
Part time (Tu/Th) 2 days a week
Is your child potty trained?
Yes
No
Does your child have any allergies?
How did you hear about us?
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