Montessori Play Date Enrollment – The Montessori Parent-Child Experience

🔹 Montessori Play Date Enrollment Form

Montessori Play Date Enrollment

Child Information

Full Name:

Date of Birth:

Age:

Is your child walking? (for toddler class):

Yes

Parent/Guardian Information

Full Name:

Relationship to Child:

Phone Number:

Email Address:

Home Address:

Address Line 1

Address Line 2

City

State

Zip Code

Program Class Selection

Select Class Type

( ) Infant (2–12 months) – Saturdays | 2:30 PM – 4:30 PM

( ) Toddler (13–36 months, walking) – Saturdays | 10:00 AM – 12:00 PM

Select Payment Option

Weekly Drop-In – $45 per session

Monthly Membership (4 sessions) – $160 per month

A $50 non-refundable registration fee is required for monthly enrollment

Fee: 50 $0.00

Preferred Start Date:

Emergency Contact

Some description about this section

First Name

Last Name

Relationship:

Phone Number:

Allergies or Special Considerations:

How did you hear about us?

Waiver and Agreement

I understand that I am responsible for supervising my child during the Montessori Play Date session. I release The Montessori Parent Lounge and its staff from any liability for injuries or incidents that may occur during the session.

No payment items has been selected yet

Pay with Card (Stripe)

Welcome to The Montessori Parent-Child Experience!

🔹 Montessori Play Date Enrollment Form

Child Information

Parent/Guardian Information

Program Class Selection

Emergency Contact

Waiver and Agreement

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