Print and Complete the form below.  
 

Application for Admission Academic School Year:  ________________

Name of Child_____________________________________________  Boy_______  Girl_______

Date of Birth__________________________________________ Age on 9/1/___ ____________

Home Address

_________________________________________________________________________________

_________________________________________________________________________________

Home Email__________________________________________ Home Phone__________________

Name of Father/Guardian___________________________________________________________

Occupation/Title___________________________________________________________________

Business Address__________________________________________________________________

Business Phone_______________________________ Cell Phone___________________________

Name of Mother/Guardian__________________________________________________________

Occupation/Title__________________________________________________________________

Business Address__________________________________________________________________

Business Phone_______________________________ Cell Phone___________________________

Name of Previous Schools attended and dates

________________________________________________________________________________

________________________________________________________________________________

Names and Ages of Brothers and Sisters

________________________________________________________________________________

________________________________________________________________________________

How did you hear about TLC Montessori?

________________________________________________________________________________

________________________________________________________________________________

Do you have any special interest or talents you would like to share with the children or school?

_______________________________________________________________________________

_______________________________________________________________________________

_______________________________________________________________________________

_______________________________________________________________________________

 

 

What hours are you interested in for Attendance?

8:30 – 11:30am ______________________________________ (A.M. half school day)

12:00Noon – 3:00pm __________________________________ (P.M. half school day)

8:30 – 3:00pm ____________________________________ (Kindergarten/Full School Day)

 * Please mail to: TLC Montessori School ,LLC  23 Doral Lane Martinsburg, WV 25405

 

 

 

 

 © 2018-2019
The Light of the Child - Montessori School, LLC
Email: sfrund@yahoo.com

 



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