Montessori Mornings: An Infant Toddler Parent Participation Program

Montessori Mornings: An Infant Toddler Parent Participation Program

Engaging, Learning, Socializing
Applicant Information
Parent/Guardian Name*

First NameMiddle NameLast Name
Child's Name
Date of Birth*

MonthDayYear
Date
Email*
example@gmail.com
Mobile Phone Number
Please enter a valid phone number.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Application

Each child is to be accompanied by one parent or guardian. This person may change from day to day if needed.
Enrollment Status*
Admission Application for:

Wednesday Early AM class 8:15 am to 9:15 amWednesday Late AM Class 10:00 am - 11:00amFriday Early AM class 8:15 am to 9:15 amFriday Late AM Class 10:00 am - 11:00amTuesday PM Class 12:30 pm to 1:30 pmWednesday PM Class 12:30 pm to 1:30 pmThursday PM Class 12:30 pm to 1:30 pm

Contact In case of Emergency
Name

First NameMiddle NameLast Name
Mobile Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Relationship

How did you hear about our program? Please check that all that apply.*

School WebsiteI have attended the Infant Toddler Program before.I have a child that attends/attended Southampton Montessori School.I have applied to Southampton Montesori School.GoogleInstagramFriend/Family referralAlumni

REGISTRATION & FEES

Registration is based on a first-come, first-served basis. Classes are non-refundable or transferable.

You may sign up for more than one program. Each program is 1 class per week for 6 weeks.

$125.00 per 6 week session

Once registration form is received, an invoice will be sent for the available classes.

WAIVER

I hereby authorize my child's participation in the SMS Infant Toddler Program. I know of no issues which may affect my child's ability to participate safely in this program.

I agree that any pictures or video taken by SMS or by persons authorized by the school may be reproduced and used without liability for school purposes, unless I indicate otherwise in the coment box below.
Parent Signature

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Classes
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Infant/Toddler Class
$125.00 Quantity

Total

$0.00

Payment Methods

Debit or Credit Card

Choose from one of the PayPal options to make your payment.

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