ENROLLMENT APPLICATION 2007–2008
STUDENT
Surname
Given names (Begin with name used)
Address: Street
City
Postal Code
Telephone
Birthdate
(D / M / Y)
Present age
FATHER
Surname
Given Name
Address: Street
City
Postal Code
Business Telephone
Business Name
MOTHER
Surname
Given Name
Address: Street
City
Postal Code
Business Telephone
Business Name
PROGRAM REQUIRED •• for school year •• 2008•• 2009 •• 2010
Casa half–day (9 am–12 noon) • Casa full–day
Lower Elementary
Before school (from 8 am)• After school (till 6 pm) Before and After school
EMERGENCY NAMES AND NUMBERS
1.
2.
3.
Child's OHIP number
List any allergies your child may have
List any communicable diseases your child has been exposed to ( i.e. chicken pox, measles, mumps, etc.)
We, the undersigned, individually and severally, agree that if the applicant is accepted for admission to Manor Montessori School Inc., we will and/ or understand:

1. Comply with all the rules and regulations of the school and;
2. Pay all fees and extras in respect to the student, as and when due
3. I fully understand that once my child is accepted into the program that the $1000.00 / $1500.00 deposit is non-refundable and non-transferable under any circumstances.
4. All children attending Manor Montessori School must be fully toilet trained.
Date
Parent or Guardian Signature
FOR OFFICE USE ONLY
Date letter of acceptance sent:

Date of Admission:

Date of Discharge: