Montessori of Ladera Ranch

Student Registration Form

New Student Registration Form
Child’s Name*
Date of Birth (MM/DD/YYYY)*
Gender*
- Male
- Female
Parent/Guardian’s Name*
Address*
Street Address City ZIP / Postal Code
Home Phone
Work Phone
Cell Phone*
E-mail Address*
Please check the program that most fits your needs
Please select the program:*
- Toddler
- Preschool
- Elementary
Please choose the schedule:*

Please note 5 full days only for Elementary students
- 3 half days (9:00am – 12:00pm)
- 5 half days (9:00am – 12:00pm)
- 3 full days (9:00am – 3:00pm)
- 5 full days (9:00am – 3:00pm)
Days attending each week:*
- Monday
- Tuesday
- Wednesday
- Thursday
- Friday
Extended day care?*
- Yes
- No
Choose extended care*
- am daycare (7:00am - 9:00am)
- pm daycare (3:00pm - 6:00pm)
- am & pm daycare (7:00am - 9:00am & 3:00pm - 6:00pm)
Parent Signature*
Date*
Date Format: MM slash DD slash YYYY
Parent Signature
Date
Date Format: MM slash DD slash YYYY
Required Fees
New Student Registration Fee
Earthquake Kit

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