Program Election Form

First Name

Last Name

This Program Election is being submitted for:

The requested enrollment date:

The name of the student for which this election applies:

The birthdate of the student for which this election applies:

Please select your child's division:

Please select your desired program within our Toddler division.

Please select your desired program within our Primary division.

Pending availability, does your 3- or 4-year-old Primary student need a space in the Primary napping room?

Please note, if your 3- or 4-year-old Primary student needs before- or after-school care (or both), please review our Extended Care (CASA) information and complete our online CASA registration.

How many signatories are on the Enrollment Agreement with Greensboro Montessori School for the above-named student?

I understand that upon submitting this Program Election Form, this document will become an addendum to my Enrollment Agreement with Greensboro Montessori School for the above-named student.

By typing may name below, I agree that it will be the electronic representation of my signature for all purposes when I (or my agent) use them on envelopes, including legally binding contracts - just the same as a pen-and-paper signature.

We understand that upon submitting this Program Election Form, this document will become an addendum to our Enrollment Agreement with Greensboro Montessori School for the above-named student.

By typing our names below, we agree that it will be the electronic representation of our signatures for all purposes when we (or our agent) use them on envelopes, including legally binding contracts - just the same as a pen-and-paper signature.

Electronic Signature, Signatory One

Electronic Signature, Signatory Two

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