Woodcreek Montessori School
A Place for Infants, Toddlers, & Preschool
Application for Enrollment
Today’s Date: ____________ Preferred Start Date:____________
Circle Days Requested: M Tu W Th F AND / OR first available 1 / 2 / 3 / 4 days
Check Schedule Desired:
_____ Morning, 8:30am - 12:00pm
_____ Afternoon , 12:00pm - 4:00pm
_____ School Day, 8:30am - 3:00pm
_____ Ext School Day, 8:30am - 4:00pm
Child’s Name: _________________________ Child’s Date of Birth: ____________
Parent's Names: ________________________________________________________________
Home Phone: ________________ Work: _______________ Cell: ___________________
Email Address: _________________________________________________________________
Child’s Home Address: __________________________________________________________
City: __________________ State: _____________ Zip: ____________________
Please check who referred you to our school, thank you ! :
Our Website_____ Montessori School (name) _________________California Kids_____
Parent's Monthly_____ Valley Yellow Pages_____ Brighter Beginnings_____ Surewest Green Pages_____
Surewest White Pages_____ Woodcreek Montessori SUV:_____ Prior Family Enrolled (name):_________________
Facebook Ad_____ Google Ad_____ Yahoo Ad_____
Please Read & Sign Below:
1) Family will be offered 1st available space based upon age availability, days, and hours offered in the program.
2) If there are no spaces available when application is received, the application fee & application will be held until the next space becomes available, up to 12 months.
3) Family may choose to decline openings until the opening they desire becomes available up to 12 months.
4) If a family gives an application & application fee, and we do not have an opening, the fee can be refunded with written notice within 30 days to the address given on the Application in the event you need to make other arrangements.
5) Application fees are non-refundable if you are offered a space, and accept the space verbally or via e-mail. At this point we are declining other families and holding the space exclusively for your child.
Please send the $125.00 Application Fee (check made out to Wendy Spencer) with the competed application form to 1921 St. Basil Circle, Roseville, CA 95747.
I ______________________sign that all information provided is true to the best of my knowledge, and understand a space will be provided based on my child's age, days requested, and hours needed, if they are able to coincide with Woodcreek Montessori School's availability.
Signature_____________________________________________ Date____________________________________