973 Prince Avenue

Athens, GA, 30606

7703316548

Your Custom Text Here

Child's Name

Please include nickname, or the name the child uses in quotes.

Child's Birthdate

YYYY

Guardian's Names

The following questions will help us have a better understanding of your child.

Was there anything notable about pregnancy or birth?

Have there been any serious injuries or illnesses?

Are there any foods restricted or avoided? Please describe.

Does your child need any medications administered? Are there any side effects?

Are there any special learning needs, specifically in regards to hearing, speech, or vision?

And how can we best help them?

When did your child start walking?

Talking?

Typical bedtime?

Typically awakens at?

Does your child take a nap? If so, what time, and how long?

Is your child a good eater?

What does your child typically eat for breakfast?

Is your child independent in the bathroom? When did child become so?

Does your child have a regular or fluctuating schedule?

What are your child's living arrangements?

Does your child have any siblings?

What are their names and ages, and where do they attend school?

Do you have someone who regularly takes care of your child? Who?

What method(s) of discipline do you use?

Do you have a job that takes you or your co-parent out of town? How often?

If you are the legal guardian, how often does your child see biological parent(s)?

If divorced or separated, how old was the child when the parents separated?

What activities bring your child joy?

What activities do you enjoy as a family?

How much screen time do you allow your child?

Please note, we are only curious about at-home habits. There is zero screen time at Kaleidoscope.

What do you imagine enables your child to thrive in an environment?

Please consider this question as optional, as it is a pretty big one, and I imagine we will be learning this together. But if you have any insights already, I would love to hear them.

Anything else?

The following is about us posting pictures to our Instagram (@kaleidoscopemontessori) or in our blog.

Media Release

Yes! You may, indeed post pictures of my child. I want to support Kaleidoscope's growth and help spread teh word about Kaleidoscope to people searching for ways to learn about nature, Montessori, Athens schools, etc.

I want to know what my kiddo is doing! But I don't really want strangers to know. Please only post pictures of my kid's face to the password-protected blog, but you can post pictures where it is just their hands or the back of their head to Kaleidoscope's social media accounts.

No. Please do not post pictures of my child at all.

Other.

If other for media release, please help us understand how to honor your privacy.

Now, these following questions will help us know more about you.

Based on the interests you wrote on your child's application, would you be willing to volunteer some of your time to share these passions with the children of Kaleidoscope Montessori? If so, what time of year/day works best for your schedule?

Would you ever like to share your family's heritage or culture with the children of Kaleidoscope Montessori (through food or celebration)?

How did you hear about Kaleidoscope?

What drew you to or intrigued you about Kaleidoscope Montessori?

Who is responsible for billing?

First Name

Last Name

Billing Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

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How often would you like to pay for tuition?

If other, please specify.

Do you have any questions about Kaleidoscope or the Montessori method?

Feel free to email any time:

kaleidoscopemontessori@gmail.com