Registration

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Personal Information
Child's Information
Full Name*
Nickname
Date of birth*
Gender*
- Female
- Male
Address*
Nationality(ies)*
Language(s) spoken at home*
Parent/Guardian Information
Mother/Guardian A's Full Name*
Father/Guardian B's Full Name*
Mother/Guardian A's Phone Number*
Father/Guardian B's Phone Number*
Mother/Guardian A's email*
Father/Guardian B's email*
Mother/Guardian A's Occupation*
Father/Guardian B's Occupation*
Mother/Guardian’s address (if parents are living together just fill one)*
Father/Guardian’s address (if different, Please specify)
In case of emergency please let us know how best to contact you and which parent/guardian we should contact first.*
Other children in family
Does your child have a nanny or a driver? If so, please specify name and phone number
Will there be anyone other than yourselves picking your child up from school? If so, please indicate their name and relation to the child.*

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General Questions
As a member of a parent cooperative school, what talents, interests, or resources can you share to enhance MB’s community?*
There will be times when we will use photos taken in the classroom for use in parents' presentations, school literature, print advertising or social media platforms of the school. Kindly tick the boxes in the column to the right if you agree to release your child's photos on the platforms mentioned.
I, the undersigned, give permission to Montessori Beirut to release my child's photos on the following platforms:
- Select All
- Parents' Presentations
- School Literature
- Print Advertising
- Social Media Platforms
I, the undersigned, DO NOT give permission to Montessori Beirut to release my child's photos on any of the abovementioned platforms:
- Select

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Medical History
Children’s general health (include allergies)*
Is there any significant medical history that we should be aware of? Has your child undergone any diagnostic evaluations (educational or psychological)? Please give details.*
Specify any special educational, physical or emotional needs your child has.

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Conditions of this Application:
"Montessori Beirut has a non-discriminatory policy relative to race, color, religion and national origin with respect to admission of all students and employment of faculty and administrative staff.

Montessori Beirut considers the records of all individual students to be confidential information available to a child’s parents or guardians upon request. Records will only be released to other schools or agencies upon signed request from a parent or guardian and only after all accounts due are paid in full."

A non-refundable application fee of $100 must accompany this completed form.

Montessori Beirut Lot. 740 Bachoura District - Beirut Digital District +961 70 841 274
Consent
I have read the rules and procedures of Montessori Beirut in full and agree to them as written. I hereby submit this application to the school for my child to be enrolled.

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