The Caring Center/VMH - Registration Form

The Caring Center/Verona Montessori House

Open Enrollment: Summer 2023 & Fall/Spring 2023 - 2024
If you have more than one child, please a complete separate form for each child.
A. Is your child an incoming Pre-K student?*

YesNo
B. Will your child attend during Pre-K hours only?*

YesNo
Please click here to complete the registration form for Pre-K only students.

More Info
Is your child a Dual Language Learner?*

YesNo
Please share the languages your child speaks/is learning:*
Optional
Does your child have an Individualized Education Program? (IEP)*

YesNoUnsureIn ProgressOther
Do you have any children that previously attended?*

YesNo
Please list their first and last name(s).*

Parent/Guardian Information
Legal Parent/Guardian Name*

First NameLast Name
Address *

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number *

Area CodePhone Number
Email *
example@example.com
Is there a second legal parent/guardian?*

YesNo
Please select yes if there is a second legal parent/guardian.

If there isn't a second legal parent/guardian, select next.
Second Legal Parent/Guardian Name*

First NameLast Name
Second Legal Parent/Guardian Address *

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Second Legal Parent/Guardian Phone Number *

Area CodePhone Number
Second Legal Parent/Guardian Email *
Please make sure this email is not the same as above.

Session Enrollment

Summer 2023 & 2023-2024 School Year
Select a Session*

Summer OnlySchool Year OnlySummer & School YearI will be withdrawing my child
JUST IN CASE!

Are you enrolling your child for both Summer and the Fall/Spring school year?
If yes, please select "Summer & School Year" to submit ONE form.
Date of Withdrawal

MonthDayYear
Leave blank if unknown.
Thank you for sharing your child with us!

Please email or call if you need to make additional changes or update your withdrawal date.

Form Submission
Thank you!

Please be sure to click "Submit Registration Form" below to complete the registration process and email us if you need to make any additional changes:

info@caringcenter.com
Submission Confirmation Email:*
Please enter the email you'd like for your submission confirmation to be sent to.
Additional Notes (Optional)
Should be Empty:

The Caring Center/Verona Montessori House