Little Lily Montessori Pre-School Registration Child Information Child's Name * Gender * Female Male Date of Birth * MM DD YYYY Student's Identification No./ARC * Home Address * Home Phone Family Type Nuclear Family Single-Parent Family Same-Sex Marriage Joint Family Other Family Information Mother's Name * Mother's Mobile Phone * Mother's Workplace / Profession * Workplace Title Mother's Workplace Phone Mother's Email * Family Information Father's Name * Father's Mobile Phone * Father's Workplace / Profession * Father's Workplace Title Father's Workplace Phone Father's Email * Emergency Contact Name & Phone * Required Other Information Special Notice * Required Food Allergy Medicine Allergy Congenital Disease None Other Other / Comments Date of Application * Required MM DD YYYY Applicant Signature * Thank you! We will be in touch with you shortly.
