Application Form

Little Learners Montessori School

Principal: Raju Surelia Mont. Dip. (London)

St. Helen's Church, St. Helen's Road, Solihull

REGISTRATION FORM

Child's full name

Date of birth

Home address                                                                                                                                                    Home Tel. No.

Postcode

Father

Mother

Full Name

Occupation

Business Tel No

Mobile Tel No

Name and address of family doctor

Name of Health Visitor

Doctor's Tel No.

Contact Tel. No.

Medical History / Allergies

Place of child in family

Admission required for term beginning September / January / April*     20____
*(delete as appropriate)

Name of next school
(if known)

Once my child has been accepted:
  Ÿ I will pay each term's fees in advance.
  Ÿ I acknowledge that one term's notice of withdrawal is required or a term's fees will be charged in   lieu.
  Ÿ I understand that no reduction can be made for holidays, sickness or any other absence during term.
  I enclose a non-refundable registration fee of £ 45.00
Please make cheques payable to:   Little Learners Montessori School
Once your child has been accepted, a non refundable retainer fee for the amount of £75 will be required. This amount will be deducted from the first term's fees

Please post to: Little Learners Montessori School
12 Thornby Avenue
Solihull
B91 2BJ

Signed

Date

Little Learners Montessori School Principal: Raju Surelia Mont. Dip. (London) St. Helen's Church, St. Helen's Road, Solihull REGISTRATION FORM
Child's full name
Date of birth
Home address Home Tel. No. Postcode
	Father	Mother
Full Name
Occupation
Business Tel No
Mobile Tel No
Name and address of family doctor Name of Health Visitor		Doctor's Tel No. Contact Tel. No.
Medical History / Allergies
Place of child in family
Admission required for term beginning September / January / April* 20____ *(delete as appropriate)
Name of next school (if known)
Once my child has been accepted: Ÿ I will pay each term's fees in advance. Ÿ I acknowledge that one term's notice of withdrawal is required or a term's fees will be charged in lieu. Ÿ I understand that no reduction can be made for holidays, sickness or any other absence during term. I enclose a non-refundable registration fee of £ 45.00 Please make cheques payable to: Little Learners Montessori School Once your child has been accepted, a non refundable retainer fee for the amount of £75 will be required. This amount will be deducted from the first term's fees
Please post to:	Little Learners Montessori School 12 Thornby Avenue Solihull B91 2BJ
Signed		Date