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International Montessori Preschools

Enrollment Application

Please admit for enrollment:

Child ________________________________________________Sex_____________Age_________Birthdate_____________

Child ________________________________________________Sex_____________Age_________Birthdate_____________

Father_______________________________________________

Address_____________________________________________

____________________________________________________

Employer ___________________________________________

Phone   W__________________H________________________

Mother_______________________________________________

Address_____________________________________________

____________________________________________________

Employer ___________________________________________

Phone   W__________________H________________________

Who is actually enrolling the child?   Father_____________  Mother_______________

Previous Montessori Schooling? ___________  If yes, where? ____________________________________________________

For which campus are you applying?  Claremont___________ Pasadena, East___________ Pasadena, West________________

Please enclose a $50.00 application fee with this form, made out to the International Montessori Preschool, for the Claremont campus, or International Montessori Academy for the Pasadena campus.  This fee, which covers our processing costs, is not refundable under any circumstance.

Enrolling parent MUST sign the following legal release for this application to be considered:
____________________________________________________________________________________________________

I hereby give my permission for my child to participate in all school activities, including field trips and other activities on and off the school premises.  I understand that some of these activities, as well as travel that might be involved, contain an inherent risk of injury and on behalf of myself and my child I release the school, its agents and employees and waive any claim I or my child and/or our heirs, executors, administrators and assigns may have against them for any injury or disability incurred either at school or during any off-campus activity except for claims arising from the active misconduct or gross neglect of school personnel.

Date_________________ Parent’s Signature_______________________________________________________________

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Where did you first learn about our school?  (Check only one) ________Friend________Driving Past School

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Int’l Montessori Academy
West 355 Green Street 
Pasadena, CA 91105   
626/792-4505

Int’l Montessori Preschool
211 E. Arrow Highway 
Claremont, CA 91711
909/399-9222