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Keene Montessori School Registration 18-19
Please fill in this form to begin the registration process for the 2018-19 school year.
Email address *
Student Information
Child's Name *
Your answer
Nickname
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Gender *
Your answer
Parent 1 Information
Parent 1 Name *
Your answer
Address *
Your answer
Phone Number *
Your answer
Parent 2 Information
Parent 2 Name
Your answer
Address
Email Address
Phone Number
Student Schedule
Morning hours for Infants and Toddlers is 8:30-11:30 and Preschool is 9-12
Morning and Afternoon hours for Infants and Toddlers is 8:30-2:30 and Preschool is 9-3
Full Day is 7:30-5:30
Program *
Days Attending *
Morning
Morning and Afternoon
Full Day
Not attending
Monday
Tuesday
Wednesday
Thursday
Friday
Please list any additional contracted before or after care days and times.
Your answer
Payment Information
We plan to pay *
Registration fee
A copy of your responses will be emailed to the address you provided.
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