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Application for admission

Child Information

Child’s Full Name

Nick name

Date of Birth

Address

Primary Language

Eye Color

Email

Phone

Thank you! We’ll be in touch.

Application for admission

Child Information

Child’s Full Name

Nick name

Date of Birth

Gender

M

F

Address

Primary Language

Eye Color

Hair Color

Ethnicity

Admission Date

Program to Enroll

Half Day

Full Day

Long Day

Do relevant Custody papers apply?

Yes

NO

Payment Plan

Bi-annual Payment

Quarterly Payment

Monthly Payment

*$10 administration fee for each payment of quarterly and monthly plans.

Parent/Gardian Information 1

Parent’s/Legal Gradian’s Full Name:

Phone

Email

Home Address (if different)

Employer

Profession

Business Phone

Business Address: Street, City, State, Zip

Parent/Gardian Information 2

Parent’s/Legal Gradian’s Full Name:

Phone

Email

Home Address (if different)

Employer

Profession

Business Phone

Business Address: Street, City, State, Zip

*$100 application fee is required to submit with this application form!

Your Signature

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181 N Main St, Natick, MA 01760 USA | Phone: (617) 279-4021 | Email: info@sunrisemontessori.org

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