2017-18 Parent-Infant Class Registration
Thank you for filling this out. It will help me get to know your family and what you would like to get out of the class. The time of class(es) depends on how many families we have enroll.
I/We would like to register for
Name of parent(s) attending
Your answer
Child's Name
Your answer
Child's Birthday
MM
/
DD
/
YYYY
Phone number(s)
Your answer
Email(s)
Your answer
Address
Your answer
Emergency Contact (name, relationship, phone number)
Your answer
Tell me about your child
Your answer
How did you find out about this class?
Your answer
What previous experience do you have with Montessori?
Your answer
What are you most hoping to get out of the class?
Your answer
How confident are you in your knowledge about the following?
1: not at all
2: somewhat unsure
3: somewhat confident
4: very confident
5: completely confident
Encouraging dependence and independence
Preparing the home environment
Feeding your child
Development of independent sleep
Toilet Learning
Development of Language
Development of Movement
Are there other topics you would like to cover in class?
Your answer
What else would you like me to know about your family?
Your answer
Would you like your email, phone number, and address on the class list for families?
Your answer
Please choose a payment option
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