Name of Parent or Guardian _________________________________________

Mailing Address ___________________________________________________

Residential Address ________________________________________________

Phone (Home) _________________________Father (Work) _______________

Mother (Work) _______________

Father’s Occupation ________________________________________________

Mother’s Occupation _______________________________________________

Child’s Name _____________________________________________________

Sex (m) _______ (f) __________ Date of Birth _________________________

Previous Schooling ________________________________________________

Required school year/start date for which place is being applied _____________

Please return this completed application form as soon as possible, with a $100.00 (non-refundable) application/administration fee. Upon receipt we will contact you to make arrangements for the required interview with you and your child. If a place is made available for your child an enrollment deposit of $700.00 will be required to secure a place. The deposit will not be refunded under any circumstances. Please note that a place for your child can only be kept for the school year in question.

Century House Montessori School, BVI is non-denominational and non-discriminatory. Thank you for your interest in our school.

Mrs. P. Morgan
Principal