DATE OF APPLICATION:___________ DATE OF BIRTH:____/______/_____ AGE ON 9/1/____:____YRS____MTHS

CHILD'S NAME_________________________________________________   SEX:  Male  Female

ADDRESS _____________________________________________________   HOME PHONE________________

        _____________________________________________________   CLASS PREFERENCE:
					    			    MORNING    ________
MOTHER'S NAME____________________________________		    AFTERNOON  ________

 OCCUPATION____________________________ BUSINESS PHONE____-____-_____

FATHER'S NAME_____________________________________

 OCCUPATION____________________________ BUSINESS PHONE____-____-_____

BROTHERS & SISTERS - PLEASE INCLUDE AGES
__________________________________  ____________________________________

__________________________________  ____________________________________

WHEN DO YOU PLAN TO ENROLL YOUR CHILD? ______________   FOR HOW MANY YEARS? _____

WHAT ARE YOU LOOKING FOR IN A MONTESSORI EDUCATION?______________________________

_________________________________________________________________________________________

_________________________________________________________________________________________

_________________________________________________________________________________________

FROM WHAT SOURCE DID YOU LEARN OF KING'S WOOD MONTESSORI?______________________

_________________________________________________________________________________________

A $50 NON-REFUNDABLE APPLICATION	_____________________________________
FEE MUST ACCOMPANY THIS FORM.			PARENT'S SIGNATURE 
 
KING'S WOOD MONTESSORI SCHOOL		     __________________________
12 GILMORE ST.					       DATE               
FOXBORO">