Admission Questionnaire

Admission Questionnaire

At Lakewood Montessori Christian School we strive to provide the most positive experience for every child in our care. Your perspective and comments help us to understand your child’s needs and what your family is looking for. This form should be completed by a parent. All information provided will be confidential and will become part of the child’s school file.
Child’s full name*
Date of birth (MM/DD/YYYY)*
Parent’s name*
Siblings
Date
Date Format: MM slash DD slash YYYY
What is your understanding of Montessori pedagogy and method of learning?
Please list any known or suspected allergies, including foods, medicine and insect bites or stings:
Are there medical or physical needs that preclude your child from participating in classroom activities?
Please list any childhood diseases that your child has had, also, any other major health problems such as asthma, frequent ear infections, tubes in ears, etc.:
Has your child had any major emotional traumas, such as divorce, or death in the family? If so, please explain:
At what age did your child begin to speak? Does your child now use single words, 2-3 phrases, or fairly complete sentences? In what languages?
Please describe your child’s sleep health, does they nap? and the sleeping arrangements of your child (in a crib, mattress on the floor, co-sleeping with parents, sharing room with sibling, sleeping alone, etc.) What is your child’s regular bedtime? Regular wake-up time?
Does your child watch TV? If so, what programs, for how long, and with whom?
What are some activities you share with your child as a family?
What is your family Religious background? Beliefs?
Please list some ways in which your child helps with practical household tasks in your home environment (such as washing clothes, helping food preparation.)
Does your child use a pacifier? Security lovey?
At what age did your child: Sit
At what age did your child: Crawl
At what age did your child: Walk
Does your child drink/eat independently?
Does he drink/eat with
- cup
- sippy cup
- bottle
- utensils
Does your child use diapers?
- Yes
- No
If your child does not use diapers, when did she/he begin wearing underwear? How did she/he respond to using the toilet?
Signature

Lakewood Montessori Christian School

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