Village Montessori School, Inc.
ADMISSION APPLICATION For school year beginning September 2010
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Please print the application and mail or fax it to us.
For More Information Please Contact Us At 20301 Fulks Farm Road Montgomery Village, MD 20886 (301) 977-5766 Laura Kerwin Administrative Director
laurakerwin56@msn.com
* means information is required
*Child's age when school starts: Years 0 1 2 3 4 5 6 7 8 9 10 / Months 0 1 2 3 4 5 6 7 8 9 10 11 12 Gender: Pls. Select Male Female
Please Select Program Half Day 9:15am - 12:15pm AM + Half Day 7:00am - 12:15pm Extended day 9:15am - 3:00pm AM + Extended day 7:00am - 3:00pm Extended day 9:15am - 6:00pm Full day 7:00am - 6:00pm Pre-Montessori (2 year olds only) 5 days Pre-Montessori (2 year olds only) 3 days (MWF) Pre-Montessori (2 year olds only) 2 days (Tues-Thurs)
M:*L:
*Birth Place:
*State:
(Institutions/dates attended):
(Names and ages)
Father: Mother: Other:
Optional Father Mother Both Father and Mother
Parents Divorced: Parents Separated:
*A non-refundable $50 application fee is due with this application (Check box to indicate I have read):
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