Admissions Info & Application

Today's Date*

Parent/Guardian Information

Parent / Guardian's Name*

First Last

Parent / Guardian's Phone*

Parent / Guardian's Email*

Home Address*

Street Address Address Line 2 City State ZIP Code

Would you like to add an additional Contact?*

Yes

No

Contact #2 Name*

First Last

Contact #2 Phone Number*

Contact #2 Email*

Contact #2 Home Address*

Street Address Address Line 2 City State ZIP Code

About Your Child's Educational Goals

How did you find out about LRMS?*

Do you intend to keep your child at LRMS through 8th grade? If not, when do you anticipate transitioning them to a different school?*

Why are you looking to change schools at this time?*

Describe your methods of discipline.*

What educational goals do you have for your child?*

What about the Montessori method of education appeals to you?*

About Your Child

Child's Full Name*

First Middle Last

Date of Birth*

Which campus are you applying to?

Garden Campus (Alcoa)

Forest Campus (West Knoxville)

Grade (if any)

Gender

What pronouns do they go by?

My child will start on:*

My child will attend:*

Past school/daycare experiences:*

Has your child experienced any trauma that we should be aware of?*

How many hours a week does your child spend with friends and what do they typically do?*

Please describe the regular responsibilities for which your child is accountable in your household.*

Please list any physical, medical or emotional challenges of which we ought to be aware of (including allergies):*

Does anyone in the child's immediate family have any diagnosed learning challenges (dyslexia, Autism Spectrum Disorder, etc.)? If so, what are they?*

Has your child undergone any behavioral, educational, or psychological testing and what were the results?*

How many hours a day does your child spend watching television, playing video games, or using a computer?*

Describe your morning routine. What does your child typically eat for breakfast.*

What is your child's typical sleep schedule? Please describe their bedtime routine.*

Does your child need any assistance toileting?*

Application Fee

Application Fee*

Price:

Little River Montessori asks for a $25, non-refundable, application fee for all new students.

Total

Payment Method*

American Express

Discover

MasterCard

Visa

Card Number Expiration Date Security Code Cardholder Name

Name

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