Montessori Playgroup Registration
Fall 2026
Child's Name
*
First Name
Last Name
Child's Date of Birth
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Caregiver's Name
*
First Name
Last Name
Caregiver's Date of Birth
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Caregiver's Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Child's Medical Condition/Allergies
I give permission for MTCSTL, its subsidiaries, and agents the rights to use photographs/videos of me and/or my child for future promotional or fundraising materials or events:
*
Yes
No
How Did You Hear About This Course?
*
Calculation
Current School Affiliation **If applicable**
Please share any questions or areas of interest that you have regarding this course.
Course Fee
Payment of the Course Fee is required for you to be registered for our program. This fee is nonrefundable.
Calculation
Select Session Dates
*
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next
( X )
Tuesday, October 27
(limit of 8 participants)
$25.00
$
25.00
Tuesday, November 3
(limit of 8 participants)
$25.00
$
25.00
Tuesday, November 10
(limit of 8 participants)
$25.00
$
25.00
Tuesday, November 17
(limit of 8 participants)
$25.00
$
25.00
Tuesday, December 1
(limit of 8 participants)
$25.00
$
25.00
Tuesday, December 8
(limit of 8 participants)
$25.00
$
25.00
Credit Card
Submit
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