Application for Admission (Parent/Infant Class)

Child's First Name *

Child's Last Name *

Calling Name *

Child's Date of Birth or due date *

Current environment (home, school, center, relatives, etc.) *

Address *

City *

State *

Postal code *

Phone *

Language(s) spoken at home *

Name and ages of siblings (include current school):

Parent/Infant Class

Fall Session

Winter Session

First available opening (in case we are at capacity for parent-infant)

Parent/Guardian #1:

First Name *

Last Name *

Home Address (If different from student) *

Phone *

Email *

Parent/Guardian #2:

First Name

Last Name

Home Address (If different from student)

Phone

Relatives who are attending or have attended White Bear Montessori School:

Where did you learn about White Bear Montessori School? *

Photograph Permission Statement

The undersigned grants permission to White Bear Montessori to use photographs that include the undersigned and/or any of the undersigned’s family, taken at the school or any of its functions, in WBMS promotional material. This includes use in printed or written material as well as on the school’s web site, Facebook page or Instagram account. *

Photo Permission Granted

Internal Use Only

Do not use photos of my child or caregiver

Signature of Parent/Guardian *

Clear

White Bear Montessori School provides enrollment opportunities to children regardless of economic or social class, racial or ethnic heritage, religious belief, or family structure.