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Home
About
About Us

History of Montessori

Famous Montessori Alumni

Staff

Board of Directors

Join Our Team

Calendar

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Programs
Our Programs

Infant Toddlers Program

Preschool Program

Kindergarten Transition

Nutrition

School Readiness
Contact Us
Contact Us

FAQs

Get Involved

Resources
Admissions
Apply to MSOE

Tuition Calculator
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Gender*

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Female

Date of Birth*

Child's Name*

First Last

Child’s Address*

Street Address Address Line 2 City State ZIP Code

Doctor

Doctor Phone Number

Doctor Address

Street Address Address Line 2 City State ZIP Code

Preferred Hospital

How did you hear about us?

Primary Guardian's Name*

First Last

Primary Guardian's Email*

Primary Guardian's Phone*

Primary Guardian Address*

Street Address Address Line 2 City State ZIP Code

Secondary Guardian Address

Street Address Address Line 2 City State ZIP Code

Parent's Work Address

Street Address Address Line 2 City State ZIP Code

Siblings

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Name of Brother and Sisters

Date of Birth

Present School

Which program are you applying for?*

Infant Toddler

Preschool

Start Date*

MM slash DD slash YYYY

Previous School/Childcare experience

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Name of School/Childcare

Start Date

End Date

Has your child had any specialized tests or evaluations?*

Yes

No

Specialized tests or evaluations

List all specialized tests or evaluations. To add more, click the + icon

Test/Evaluation

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Date

What language(s) are spoken at home?*

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Describe your child’s general health?*

Does your child have any physical limitations which would limit his/her participation in the full range of school activities?*

Yes

No

Does your child have any known allergies?*

Yes

No

Allergies

Please list all allergies.

Does your child have a special diet?*

Yes

No

Dietary Restrictions

Please list all dietary restrictions.

Is your child potty trained?*

Yes

No

Has your child ever suffered any serious illness, injury, or hospitalization?*

Yes

No

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230 Edgewood Ave.
New Haven, CT 06511

(203) 772-3210

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Faculty & Staff

(203) 772-3210
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230 Edgewood Ave, New Haven, CT 06511