Bay Montessori School

BAY MONTESSORI SCHOOL APPLICATION FORM

Please complete the Application Form below and press the submit button for processing OR you may download the print version and mail or fax it to:

Bay Montessori School
20525 Willows Road
Lexington Park, Md. 20653
FAX: 301-737-2837

*Please note that ALL fields are required.

Child's Name:
Session Desired:	Morning(Montessori) Extended Day Full Day(Montessori) Summer Program Elementary(Montessori)
Arrival Time:
Departure Time:
Date you would like your child to start:
Nickname:
Date of Birth
Sex:	Female Male
Home Phone:
E-mail:
Home Address:
City:
State:
Zip:
Mother's Name:
Occupation:
Business Address:
Business Phone:
Father's Name:
Occupation:
Business Address:
Business Phone:
Name of health insurance co:
Policy#:
Names, ages and sex of other children in the family:
Is your child toilet trained:	Yes No
How many hours a week does your child watch TV:
Has your child attended school previously, where and for how long:
What kind of things do you enjoy doing with your child:
Why do you wish to send your child to a Montessori school:
How did you first hear about Bay Montessori School?
	Please sign and return this form and registration fee to:
	Bay Montessori School 20525 Willows Road Lexington Park, Md. 20653 FAX: 301-737-2837 For more information on regulated childcare please see the website: www.marylandpublicschools.org/MSDE/divisions/child_care/licensing_branch The School has my permission to photograph my child for school purposes. Parent signature_____________________________________ Date: _________