MOBILE BAY MONTESSORI

APPLICATION FOR ENROLLMENT

Child's Name _________________________________

Date of Birth ______/______/______ age on Sept 1, 2010 _______

Home address ____________________________________

City _________________  zip ___________________

Home phone _________________ e-mail ____________________

Mother _______________________________

Father ________________________________

Mother's work# _________________ cell #_______________________

Place of employment ____________________________________

Father's work#_____________________ cell# ______________________

Place of Employment ___________________________________

Do both parents share legal guardianship? ____________

If no, which parent does child live with? _______________

Person and address to whom school mailings should be sent ______________________________________________________________

Person responsible for payments ________________________________

Names of previous schools your child has attended.

_____________________________________________________________

Names and ages of siblings _________________________________________

Mail form with $50 non-refundable application fee to:

Mobile Bay Montessori  - 20900 Hwy 181, Fairhope, AL 36532