Application

Child's Last Name*
Child's First Name*
Child's Birthdate*
MM
DD
YYYY
Child's Gender*
- Female
- Male
Child's Home Address*
Street Address Address Line 2 City State ZIP Code
Parent/Guardian #1 Last Name*
Parent/Guardian #1 First Name*
Parent/Guardian #1 Email*
Parent/Guardian #1 Cell Phone*
Is Parent/Guardian #1's home address the same as the child?*
- Yes
- No
Parent #1 Home Address
Street Address Address Line 2 City State ZIP Code
Parent/Guardian #2 Last Name*
Parent/Guardian #2 First Name*
Parent/Guardian #2 Email*
Parent/Guardian #2 Cell Phone*
Is Parent/Guardian 2's home address the same as the child?*
- Yes
- No
Parent #2 Home Address
Street Address Address Line 2 City State ZIP Code
Are there any allergies, food restrictions or any other medical condition that we should know about?
In what school district do you reside?*
Photo Release*
I agree to the photo policy.
Novi Woods Montessori occasionally takes photos of children in the classroom. Novi Woods Montessori occasionally posts these photos on their website, social media accounts or advertising material. Photos are also included in the weekly newsletter that is only sent to current families. If a parent wishes to opt out of these social media or newsletter photos, they must sign a form that can be obtained in the office.
Supplies*
I agree to the supplies policy.
Parents agree to provide all food and drinks (unless purchasing a hot lunch). Parents agree to provide naptime supplies, extra clothes and socks, diapers, wipes and any other supplies their child may need while in care. Novi Woods Montessori will not be responsible for damaged or missing personal possessions.
Parent/Guardian #1 Name*
Parent/Guardian #1 Signature*
Parent/Guardian #2 Name
Parent/Guardian #2 Signature

Novi Woods Montessori

Application

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