RMS Application

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RMS Application

Email *

Date

YYYY

Mother's Name

Father's Name

Address

City

State

Zip Code

Phone Number (home)

Phone Number (cell)

Child(ren)'s name, date of birth, gender:

Please check the class/classes that apply:

2.5 Class (students meet Tuesday and Thursday 9:00am-11:30am)

3.0 Class (students attend 3 (minimum), 4 or 5 days per week 8:45am-12:30pm)

4.0 Class (students attend 4 (minimum) or 5 days per week 8:30am-1:00pm)

Young 5's Class (students attend 5 days per week 8:15am-1:00pm and until 2:00pm on Wednesdays)

Kindergarten Students attend class 5 days per week 8:15am-2:00pm

Please indicate preferred days for 3.0 or 4.0 class:

Has your child previously attended school?

Yes

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If, yes, where?

Has your child had or is your child currently receiving any therapies (speech & language, occupational therapy, cognitive, psychosocial, Early Intervention)? (This is for informational purposes only and will not impede your child from being admitted to the school.

How did you hear about Rainbow?

Thank you!

Please note that we require prospective parents to tour the school prior to admission. We will contact you about scheduling a tour at your convenience. Thank you for considering Rainbow Montessori of Madison!

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