Small Savers Montessori - Wait List Application
If you experience any issues with this form or have any questions, please contact us at (202) 414-3085 or email admin@smallsavers.org. *Please note: One application is required for each child, so if you are planning to apply for more than 1 child, you will need to return to this form and submit for each additional child.
Desired Starting Month
*
-
Month
-
Day
Year
Date Picker Icon
Full name of child
*
First Name
Middle Name
Last Name
Date of birth or due date
*
-
Month
-
Day
Year
Date Picker Icon
Age (at desired starting month)
*
Sex
*
Male
Female
Do not wish to say
Home Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Parent/Guardian 1
*
First Name
Last Name
Cell Phone
*
Please enter a valid phone number.
Email
*
example@example.com
Employer
*
Position
*
Employer Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Work Phone
Please enter a valid phone number.
Parent/Guardian 2
First Name
Last Name
Cell Phone
Please enter a valid phone number.
Email
example@example.com
Employer
Position
Employer Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Work Phone
Please enter a valid phone number.
How did you hear about Small Savers Montessori?
*
Application Fee
This will show up on your CC statement as *PP Federal Home Loan Bank Board Small Savers or *PP Fed Home.
Please select one:
*
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next
( X )
Application Fee (General Public)
$
120.00
Application Fee (CFPB Employees only)
$
60.00
Payment Methods
Debit or Credit Card
Choose from one of the PayPal options to
make your payment.
Submit
Should be Empty: