Montessori House

2019 Packet Instructions and Summary Return Sheet

2019 Packet Instructions and Summary Return Sheet
Dear Parents,

By June 6, 2019, please read, complete, sign, and submit the following plus photos:
1. YOU complete both sides of this form, and 2. YOUR PEDIATRICIAN completes the health form.

(Also enclosed, copy of your signed Enrollment Agreement -- please retain for your records, do not return.)
Student name
First Last
A. You received each of these documents electronically (by e-mail or download from website).
I have received and read the following information:
- 2019-20 Parent Handbook
- Policy on Discipline
- Policy on Expulsion
- Policy on Social Media
- Information to Parents Statement
- NJ Immunization Information
Checklist
- This Form (disclosure confirmation & checklist)
- Emergency Form
- Student Medical Treatment & Student Picture Release
- Universal Child Health Record (CH14)
- Photos
Upload photos here
Drop files here or
1. One photo of your child for the classroom (two photos for Stepping Stones students)

2. One photo of your child with her/his family for office records
3. Photo of each person you authorize to pick up your child from school
SUBMITTED by: (Parent Name)
First Last
Signature
Date
Date Format: MM slash DD slash YYYY

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The Montessori House|426 Knickerbocker Rd, Tenafly, NJ 07670|contact@themontessorihouse.com|201.816.8343

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