Name of Child
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First Name
Last Name
Date of Birth
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MM
DD
YYYY
How does your child respond to new situations?
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How does your child express his/her needs? (sign language, gestures, words or jargon)
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Is another language besides English spoken in your home? Describe usage.
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What time does your child typically nap and for how long? Do they require assistance in falling asleep? (pacifier, lovey, back rub, etc.)
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Does your child use a pacifier? If so, please describe frequency for usage.
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Is your child nursing? If yes, describe your feeding schedule.
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If your child watches television or uses electronics, i.e. ipad or iphone, how long each day and which programs are watched? Please describe frequency
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Does your child have any fears? If so, what is the best way to comfort your child? How do they comfort themselves? (security item, thumb, etc.)
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Is anyone else entrusted with the care of your child? (caregiver, close friend, etc.)
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Is your child showing any interest in toileting?
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Thank you for applying for admission for your child to Montessori School of Fort Worth. In addition to the tour, application, and questionnaire, we need a copy of the applicant’s immunization history to complete your child’s admissions file. We will contact you once the applicant’s admissions file is complete.
Please submit complete vaccination history via email , fax or mail.
