Children's House Enrollment Application

Student's Name: Student's Name: First Middle Last
Current Age (Years and Months):
Date of Birth: Date of Birth: / MM / DD YYYY
I am applying for enrollment in:
If accepted, my child will attend:

If accepted, my child will attend: Half Day (8:15am - 12pm) Full Day (8:15am - 3pm)
Does your child have a sibling that attends Lewis & Clark Montessori Charter School?
Has your child had experience in a Montessori Classroom before?

Has your child had experience in a Montessori Classroom before? Yes No
If Yes, at what age(s)?
Has your child attended another pre-school before?

Has your child attended another pre-school before? Yes No
If yes, please let us know the type, number of days/hours, etc:
Has your child received early childhood services?

Has your child received early childhood services? Yes No

If your child is currently on an Individual Education Plan (or an IFSP) we will request that a placement meeting with your home school's IEP/IFSP team take place and that you request Tami O'Kinsella, Director of Education attend that meeting to work out the servicing of your child's IEP/IFSP accomodation to ensure a successful transition.
If yes, what services did your child receive?
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