Nordic Montessori School

Nordic Montessori School

Online Application of incoming students
Date
mm-dd-yyyy
Student Information
Student's Name

First NameMiddle NameLast Name
Age
Date of Birth
mm-dd-yyyy
Gender
Name of Last school Attended
Which option are you enrolling your child in?
Parent Information

Type N/A if the category does not apply.
Guardian 1 Name
Guardian 2 Name
Guardian 1 Mobile Number
Guardian 2 Mobile Number
Email Address Guardian 1
example@example.com
Email Address Guardian 2
example@example.com
Complete Home Address

Address

Apt/Housing #

CityState / Province

Zip Code
Emergency Contact

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Will there be any other individuals performing drop-offs and pick-ups?
List all who apply. Each individual will need to present their ID at time of pick-up.
Medical & Special Needs
Does your child have any allergies?
Does your child have any special needs?
Does your child require any special medical attention?
We do not administer any medication at the school.
Helpful information about child:
Child's Physician Information
Name

First NameLast Name
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Signature
Once application has been received and reviewed, we will contact you to set up a meet and greet at your earliest convenience. A one-time registration fee of $50 will be charged for a background check. Payment for school will be invoiced one week prior to the start date and you will continue to be invoiced, either weekly or monthly, following enrollment. You will have the option to enroll in ACH as soon as registration is complete.
Submission of form indicates that the above name of student is temporarily enrolled in the school's masterlist.
Should be Empty:

Nordic Montessori School

Student Information

Parent Information

Medical & Special Needs

Child's Physician Information