Rockland Montessori Academy
For Young Learners

Preschool Registration for the 2011-2012 School Year
(Two years and nine months through Kindergarten)


Child's Name_________________________________________________________


Date of Birth___________________      Boy______        Girl______


Address_____________________________________City____________Zip______


Home Phone______________________Cell Phone___________________________

Please circle the session you wish for your child:

Preschool:                                                      
        Monday, Wednesday, Friday (8:30 to 11:30 am)            

        Tuesday, Thursday (8:30 to 11:30 am)                    

        Monday, Wednesday, Friday (12 to 3 pm)          

        Tuesday, Thursday (12 to 3 pm)

        Five Mornings (8:30 to 11:30 am)                        
                                                                                                                        
        Five Afternoons (12 to 3 pm)    
                                    

Extended Day:                                           
Full-Day Program (8:30 am to 3 pm)    M  T   W  Th  F 
                                                                        
        Early Drop off  (7:30 am to 8:30 am)  M  T   W  Th  F 
                                                                        
        Late Pick up    (3 pm to 5:30 pm)  M  T   W  Th  F



Kindergarten:(requires the Director's approval)

        Five Mornings     (8:10 am to 11:30 am)
Five Full Days (8:10am to 2pm)         
   (Extended Day may be added to Kindergarten)
   

**Please include the non-refundable $100 registration fee.**