Section 1: Student Info

Student Full Name *

Date of birth *

Desired Start Date *

Program Applying For *

Has your child attended school or daycare before? If so, where and for how long? *

Does your child have any allergies, health considerations, or developmental needs we should be aware of? *

What drew you to Hill Point Montessori, and what do you hope your child will gain from this experience? *

Parent/Guardian Info

Parent/Guardian 1:

Parent/Guardian 1 Full Name *

Parent/Guardian 1 Relationship to Child *

Parent/Guardian 1 Email *

Parent/Guardian 1 Mobile Phone *

Parent/Guardian 1 Work Phone

Parent/Guardian 1 Address *

Parent/Guardian 2:

Parent/Guardian 2 Full Name

Parent/Guardian 2 Relationship to Child

Parent/Guardian 2 Email

Parent/Guardian 2 Mobile Phone

Acknowledgment + Signature

Parent/Guardian Name (as signature) *

Date *

I certify that the information provided is accurate to the best of my knowledge. *

Yes

I agree to this privacy policy. By providing my phone number, I agree to receive text messages from Hill Point Montessori Preparatory School.