Enrolment Form
Peaceful Rooms Montessori Centre
Clondyke Drive, Byford
Child's Full Name *
Child's Date of Birth *
Parent/Guardian Name *
Mobile Number *
Email Address *
Home Address *
Other Emergency Contacts (Names & Phone Numbers) *
Please select the program you child/ren are enrolled in (select all that apply) *
Do you have more than one child attending Peaceful Rooms Montessori Centre? Please provide their Name. (Note: You will need to complete a form for each child enrolled).
Authority to Administer First Aid if Required *
Are there any custody orders in place in relation to your child? Please provide details.
Does your child have any known allergies or intolerances? *
Please provide details about the allergy or intolerance. If the child has an allergy, a management plan must be provided.
Is there anything specific about your child’s development that will help us to understand how they grow and learn? We welcome plans from specialists.
What languages does you child speak? Feel free to provide us with some key words in the child's first language (if not English).
Tell us about your child's interests and strategies that may help them feel calm.
I agree to the terms of service available at: www.peacefulrooms.com/terms *
Parent/ Guardian Full Name and Date signed. *
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