Application for Admission

Please return the following with your Application for Admission form:

  1. $100 per child (to be placed on the waiting list)
  2. Copy of your child’s birth certificate and immunization details
Student Surname: Given Name/s:
Date of Birth: Gender:Male Female 
Siblings:
Address:
Email Address:
Are you currently attending Rockingham Montessori Playgroup? Yes No 
Has your child previously attended a Montessori School or Playgroup? Please list below.Yes No 
Previous schools:
Parent/Guardian Name (1): Home Phone:
Work Phone: Mobile Phone:
Parent/Guardian Name (2): Home Phone:
Work Phone: Mobile Phone: