Rockland Montessori Academy For Young Learners

Child's Name:_______________________________________________

I hereby give permission for my child's picture to appear in newspapers, ads, website, brochures, photo CDs, etc. for the Rockland Montessori Academy.

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Signature/Date

I hereby give permission for my child to participate in walks around the school neighborhood, or to the park on the Fellsmere Pond with the Rockland Montessori Academy.

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Signature/Date

I hereby acknowledge that I am responsible for the full amount of tuition due at the Rockland Montessori Academy for the 2011-2012 school year.

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Signature/Date