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Paragon Montessori Academy
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Enrollment Application
Please take the time to fill out the information below.
Child's Information
First Name
Middle name
Last name
Preferred Nickname
Date of Birth
Gender
*
Male
Female
Current/Previous School
Dates Attended
Applying For
Children's House (ages 2 1/2-6 yrs) 5 Full Days
Before School Care
After School Care
Parent / Guardian Information
Do both partents/guardians live at the same address?
*
Yes
No
Parent #1 First Name
Parent #1 Last Name
Relationship to Applicant
Phone
Email
Select an Address
Parent #2 First Name
Parent #2 Last Name
Relationship to Applicant
Phone
Email
Select an Address
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