MONTESSORI. PRESCHOOL

4024 Wade St. Los Angeles, CA 90066

Application for Registration

Name of Student:

Date of Birth:

Name of Mother:

Name of Father:

Home Address:

Home Phone number:

Mother's cell phone:

Mother's Email:

Father's cell phone:

Father's Email:

Proposed starting date:

I / We the parents / guardians of hereby register him/ her to be enrolled at Montessori Preschool in the year 2023. 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.