Name *

First Name

Last Name

Child's Name

First Name

Last Name

Child's DOB

MM

DD

YYYY

Program Type *

0-18 months > 1:00-2:00 PM

Agreement *

I understand that by checking this box I agree to send the payment of $150 to stephanie@kingstonmontessori.ca to reserve my spot. Payments are non-refundable. If payment is not received in 24 hours, registration will not be reserved.

I understand and Agree