4024 Wade St. Los Angeles, CA 90066
Application for Registration
Name of Student:
Date of Birth:
Name of Mother:
Name of Father:
Home Phone number:
Mother's cell phone:
Father's cell phone:
Proposed starting date:
I / We the parents / guardians of
hereby register him/ her to be enrolled at Montessori Preschool in the year 20
. I / We understand that the $50.00 reservation fee is non refundable and will apply towards registration fee at time of enrollment.
Please complete the form and return with the payment.