Application

Please download our Printer Friendly version if you do not want to apply online. PLEASE NOTE: A $100 Non-Refundable deposit will hold a place for your child on the waiting list.

Child Information
Child's Name*
First Last
Birthdate*
Enrollment Information
Desired Year of Enrollment*
Please indicate the program you are interested in:*
Childs age on August 1st of desired year of enrollment:*
*
Guardian 1 Information
Name*
First Last
Home Phone
Work Phone
Cell Phone
Email*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
- Add an additional guardian
Guardian 2 Information
Name*
First Last
Home Phone
Work Phone
Cell Phone
Email
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Additional Information
Our school strives to achieve a balance student body with regard to gender and ethnic background. For that reason, we request the following information.
Ethnic Background
Language spoken in home
Gender
Child lives with
What school or daycare has your child attended or is your child attending?
Please be prepared to provide past and current school records to help us assess your childs’s education needs.
Does your child have montessori experience?
- Yes
- No
Which school?
if not listed above
Do you already have a child on our waiting list?
- Yes
- No
Name of child on waiting list
First Last
Medical History
Any unusual event or circumstances related to your child’s birth and /or early years of life such as childhood illness, allergies, operations, convulsions, physical challenges or impairments, serious accidents/injuries, etc.
How did you hear about Parkside?*
Additional information
Please feel free to give us any additional information about your child that you feel would be helpful for us to know. (For example, any special needs or interests, what previous school experiences have been like, etc.)
Payment information
Credit Card*

American Express
Discover
MasterCard
Visa
Card Number Expiration Date Security Code Cardholder Name
- My Billing information is the same as my home address
Billing Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Waiting List Application Fee
Total
$0.00

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Application

Child Information

Enrollment Information

Guardian 1 Information

Guardian 2 Information

Additional Information

Payment information