Apply School Year * The school year you are applying for. 2018-20192019-2020 Child’s Name * Date of Birth * MM DD YYYY Sex * Male Female Home Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Parent 1 (Or Guardian) Name * First Name Last Name Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Cell Phone * (###) ### #### Home Phone * (###) ### #### Email * Profession * Name of Business * Business Phone * (###) ### #### Business Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Parent 2 (Or Guardian) Name * First Name Last Name Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Cell Phone * (###) ### #### Home Phone (###) ### #### Email * Profession * Name of Business * Business Phone * (###) ### #### Business Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Child’s Living Arrangements * Please specify your child’s living arrangements for example, both parents, mother, father or ether. Select a program. All programs are five days per week, from September through May. Toddler (18m – 3 years) Half Day (8:30 AM – 11:30 AM) Full Day (8:30 AM – 2:30 PM) All Day (8:00 AM – 6:00 PM) Primary (3 – 6 + years) Half Day (8:45 AM – 12:15 PM) Full Day (8:45 AM – 3:00 PM) All Day (8:00 AM – 6:00 PM) Previous School experience for enrolling child. School Attended Start Date MM DD YYYY End Date MM DD YYYY School Address Address 1 Address 2 City State/Province Zip/Postal Code Country School Phone (###) ### #### Reason for Leaving If more than one school, please add names and phone numbers. I authorize the release of any information or records from the above school(s) to Carlisle Montessori School Full Name * Date * MM DD YYYY Please describe your child’s personality and special qualities: Has your child ever been tested or evaluated for any academic, psychological, emotional or behavioral difficulties? Or do you have concerns about any of these areas? If so, please explain. What are your child’s strengths and weaknesses? Does your child have any health issues that the school should be aware of? Why did you choose Montessori for your child and what do you hope your child will get from the Montessori philosophy? How did you come to find out about Carlisle Montessori School? Thank you for applying. Your application will be reviewed and an admissions specialist will contact you.