EnrollmentProgram NameSelect ProgramToddler Room Start (must be 2.5 years start) *ScheduleSelect ScheduleHalf DayFull DayDays per week *Select No of days12345Childs InformationChild's First Name *Child's Last Name *Gender *Select GenderFemaleMaleBirth day *Home Address *Family informationParent #1 First Name *Parent #1 Last Name *Parent #1 Employer *Parent #1 Email *Parent #1 Cell Phone *Parent #2 First NameParent #2 Last NameParent #2 EmployerParent #2 EmailParent #2 Cell PhonePlease list two emergency contacts in case you cannot be reached. Do you give your permission for your child to be cared for by these people in case of illness or school closing, if we are unable to reach.Emergency Contact #1 Name *Emergency Contact #1 Cell *Emergency Contact #2 Name *Emergency Contact #2 Cell *Consent *It is understood that students are entered for the full school year. I agree to the enrollment terms and conditions and to pay for services based on the fee sheet and payment schedule. Diamond Hill Montessori school does not discriminate on the basis of race, religion or gender in the administration of its educational policies. Deposit and matriculation fee are non-refundable.Signature *(file size limit up to 2 MB)Choose FileNo file chosenDelete uploaded fileProgram NameScheduleSubmitPlease do not fill in this field.
