Montessori Registration Form Wednesday Spanish Club 1:40-2:40 Student Name* First Last Student Age*Please enter a number from 0 to 10.Student Birthday* MM slash DD slash YYYY Parent Name* First Last Parent Email* Home Address* Street Address City ZIP Code Emergency Contact 1* First Last Emergency Contact Phone 1*Emergency Contact 2 First Last Emergency Contact Phone 2Homeroom Teacher Special Interests AllergiesIf your child allergic to nuts or other food items? If so, please explainAny vital information about your childParticipation Rules and Release of Liability* I agree to the Participation Rules and Release of Liability Cost Price: Δ
