Registration Package

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1
Head Start Montessori School Registration Form
Date of withdrawal
Student Information
First name
Last name
Date of birth
Sex
Address
City
Postal code
Telephone (home)
Previous school
Languages spoken at home
Please indicate program and other preferences
Program
Will your child require an afternoon nap?
Will your child require before/after school care?
Will your child require extended care?
Parents Information
Mother / Guardian
First name
Last name
Address (If different than child):
Telephone (home)
Telephone (work)
Telephone (cell)
Father / Guardian
First name
Last name
Address (If different than child):
Telephone (home)
Telephone (work)
Telephone (cell)
Siblings
First name
Sexfull name
Date of birthmake a booking
First name
Sex
Date of birth
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