Washington Montessori School
For ages 2 through K
210 High Street
Washington, MO.  63090
(636)239-5144
www.washingtonmissourimontessori.com

CHILD’S NAME:___________________DATE:______________

CHILD'S BIRTHDAY:_______________   

 ___Five Day   8:30 – 11:30      ____Four Day   8:30 – 11:30         

 ___Five Day 12:30 – 3:30        ____Four Day 12:30 –   3:30    

 ___Five Day   8:30 – 3:30        ____Four Day   8:30 –   3:30      

REGISTRATION PROCEDURE       
Please submit the following forms, registration fee, and deposits to Washington Montessori School.

Forms due:

___           Enrollment and Tuition Contract

___           Immunization Record

___           Before and After School Care Form                                               

Registration fee per child:

$  25.00     Paid_______    Date___________    

Non-refundable Deposit (applies toward tuition):

$  80.00     Paid_______   Date____________

WashingtonMontessoriSchool admits students of any race, color, national or ethnic origin to all the rights, privileges, programs, and activities generally accorded or made available to students at the school.  It does not discriminate on the basis of race, color, sex national and ethnic origin in administration of its education policies, admissions policies, scholarship and athletic and other school administered programs. 

OFFICE USE ONLY

__________  _________    _________
Date of enrollment       First day of class           Teacher(s)

___________   _____________________
Date of withdrawal       Forwarding Address

                            ___________________

                            ___________________

__________________________________________________
Reason for leaving

________________     ________________
School Placement                           First day of class