Registration

Fill out this form to request admission information for your child at Pine Island Montessori School, summer camp, or our new daycare program for children 18 months and older. Please note that this form merely requests admission for your child; final registration requires a modest registration fee. Thank you for your interest in Pine Island Montessori!

What are you registering for? * Choose One Pine Island Montessori School Summer Camp

Your Name *

Child's Name *

Child's Age *

Child's Next Grade *

Street Address

City

State

Zip Code

Phone # *

Cell Phone #

Email Address *

How did you hear about us? Choose One Current Student Former Student Friend This Website Another Website Other Source

Any comments?

* Asterisks indicate required fields.

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