Registration Form – Field and Study Montessori Preschool/ Playgroup

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Registration form

Date of registration *

Child's name *

Child's date of birth *

Father's name *

Father's email *

Father's phone number *

Father's occupation *

Mother's name *

Mother's email *

Mother's phone number *

Mother's occupation *

Address *

Has your child previously attended a Pre-school/ Playgroup? *

Name of Pre-school / Playgroup:

Does your child have any special needs we should be aware of? *

Is your child in any form of therapy? *

If so, please give details:

Have you visited the school? If not, please contact Julia Gorham school to set up an appointment (gorham@mweb.co.za) or ( 083 600 6833): *

How did you hear about the school?

Date you wish your child to start: *

Non refundable deposit R1800.00 and siblings R1500.00 Banking details: Nedbank Northrand Branch code: 146-905 Account no: 1469 043378 Please fax or email proof of payment. Deposit Paid?

Phone