REGISTRATION FORM

Preferred Starting Date: ____________________________

Child’s Information
First Name:
Last Name:
(Recent Date of Birth: Gender:
photo Place of Birth: CPR:
of your
Address:
child)

Nationality/ies:
Language(s)
spoken at home:
Other languages:

Level of English: No Knowledge □ Basics □ Average □ □

Fluent (for age level)
Siblings Name & Date of Birth:

Parent/Legal Guardian’s Information

Primary Contact Person: Secondary Contact Person:
Mother □ Father □ Other □ Mother □ Father □ Other □
First Name: First Name:
Last Name: Last Name:
CPR: CPR:
Home Address: Home Address:

Home Tel: Home Tel:

Mobile: Mobile:
Occupation: Occupation:
Company Name & Address: Company Name & Address:

Work Tel: Work Tel:

Email: Email:

Nationality: Nationality:
Additional Information
Name & address of previous daycare attended:

Does your child have special needs? Yes □ No □

Details:

Does your child have any allergies? Yes □ No □

Details:

Does your child have any medical issues? Yes □ No □

Details:

Are your child’s vaccinations up to date? Yes □ No □

If no, please specify:

Name & address of child’s General Practitioner (GP):

Other information you feel may be of use:

As the parent/guardian, I wish to enrol my child (named above) to Montessori International

Preschool. If my child is put on a waiting list, I agree to inform the preschool if I want to
withdraw my child’s application.
Once my child has been accepted at the preschool, I agree to assume responsibility for all
tuition, fees and other expenses specified on our website, for as long as my child is enrolled.

_______________________________________ _______________________
Parent/Guardian Signature Date

_______________________________________ _______________________
Parent/Guardian Signature Date

Please send this registration form to:

Montessori International Preschool, Gammel Kongevej 161, 4.tv, 1850 Frederiksberg C, Denmark
THANK YOU!