Application form

CHILD INFORMATION :

Child's Last Name

Child's First Name

Middle

Nickname

Date of Birth

Age in September 2025

Home Address

City

State

Zip

PARENT & FAMILY INFORMATION

Parent: Mother

Mother's Name

Mother's First Name

Mother's Middle Name

Home Address

City

State

Zip

Mother's Email

Mother's Phone

Mother's Occupation

Mother's Employer

Parent: Father

Father's Name

Father's First Name

Father's Middle Name

Home Address

City

State

Zip

Father's Email

Father's Phone

Father's Occupation

Father's Employer

Siblings

Sibling Name 1

Sibling Age

Sibling Name 2

Sibling Age 2

EMERGENCY CONTACTS

MLC must be notified if anyone other than a parent will be picking up your child. If someone other than a parent will be picking up your child on a regular basis, please list below their full name, relationship to the child, contact number, and scheduled time of pick up. A valid photo identification will be required at the time of pick up before a child is released.

The following people have my permission to pick up our child:

Contact Name

Relationship

Phone

Contact Name

Relationship

Phone

PROGRAM SELECTION: I am interested in the following program for my child

Montessori Kindergarten (5 - 6 years)

Kindergarten (Monday - Friday)

BEFORE & AFTER CARE

Will you need Before or After Care on a regular basis?

Yes No

AM (7:30 - 9:00 AM)

PM (2:30 - 6:00 PM)

My child has previously attended another school / childcare facility:

Yes No

TERMS, CONDITIONS, AND PAYMENT

Payment Provided

I have included a check

Check number

Check Amount

Application Process

Application Fee (required for application review): $50 for returning students, $100 for new students Tution retainer (non-refundable first installment) to secure enrollment following acceptance $150 Snack/supplies fee Please send electronic invoice for my application fee, retainer, and supply fee

An application does not guarantee admittance. Final decisions for the open enrollment period will be made by 2/28/2025. Upon acceptance, a non-refundable deposit of 1/10 of the yearly tuition will be due, with the signed MLC enrollment contract, by the required due date to secure a spot for your child. New students may be asked to visit with a teacher before acceptance to determine readiness.

I agree to the terms and conditions herein.

By typing your full name, you authorize this application.

Today's Date

Welcome, Parents!

Application for Admission (2025-2026)

A new application form will be available soon.
Please use the current Google Application form until the next update.