Registration Form
SCHOOL YEAR 2015 / 2016
Child's Name:
(in full)
Child's Date of Birth
DD/MM/YYYY
__ __ / __ __ / 20__ __
Mother's name:
ph.
Father's name:
ph.
Home Address:
Parent's E-mail address:
Please tick:
ECCE PLACE
or
Please tick:
FULL TIME (5 days per week)
PRIVATE PLACE
or
PART TIME (2/3 days per week)
Mi Casa Montessori Pre-School offers ECCE and PRIVATE places. We participate in the ECCE scheme for 3 hours per
day x 5 days per week for 38 weeks which amounts to 183 open days, from September to June. To secure the place for
the child parents need to pay the deposit 150 Euro. It will be returned when the child is verified by DCYA as eligible for
ECCE programme, and the pre-school service is paid by DCYA. Otherwise the deposit is forfeit.
The deposit for private place is equal to 1 month fee (300 Euro) and it is returned at the end of school year provided that
all fees have been paid or/and 1 month notice has been given in case the child leaves the pre-school during the school
year. Deposit for private place will be allocated as last month payment.
Parent's declaration
I wish to accept and reserve a pre-school place for my child in school year 2015/2016 in Mi Casa Montessori
Pre-school and I agree to pay deposit to secure the place.
_____________________________________
__ __ / __ __ / 201__
Parent's signature
--------------------------------------------------------------------------------(OFFICIAL USE ONLY)
Receipt
Deposit in amount of _____ Euro has been paid by ______ on ____/____/20___
________________________
signature
Mi Casa Montessori Pre-School Summerfield, 15 Summerfield Meadows, Blanchardstown, Dublin 15
tel. 01-5350008, 0857636737, [email protected] http://www.micasamontessori.ie