Registration
Print Form APPLICATION FORM FOR ADMISSION Download Form
* Student’s Name:
Last Name

First Name

Middle Name
* Email:    
* Date of Birth:
/ / * Sex:
* Preference of session:
AM only 9:00 AM - 11:30 AM
AM only 1:00 PM - 3:30 PM
AM only 9:00 AM - 3:30 PM
Extended Care Hours 7:30 AM - 5:30 PM
3:30 PM - 5:30 PM
* Address:

Street, RR No.

Unit

City

Postal Code
     * Telephone:    
* Mother's Name: Occupation:    
Bus. /Off Address:

Street, RR No

City
Bus. /Off. Phone:    
* Father's Name: Occupation:    
Bus. /Off Address:

Street, RR No

City
Bus. /Off. Phone:    
* Emergency Contact: * Telephone:    
* Family Physician: * Telephone:    
* Physician’s Address:

Street, RR No.

Unit

City
Start Date:
Start Date
End Date:
Start Date
I/We have read the terms and conditions of the school in the agreement statement. I/We agree to admit my/our child at Beaver brook Montessori School.
* Parents Signature: Date:
Start Date
Parents Signature: Date:
Start Date