BROADRICK - GENERAL INFORMATION BOOKLET IC- 2019-20 BROADRICK - GENERAL INFORMATION FOR IC- 2019-2020 | Page 9

CONTACT DETAILS
CHILD’S RESIDENTIAL ADDRESS
BLK/BLDG NUMBER: __________ STREET NAME: _____________________________
UNIT NUMBER: _______ BUILDING NAME: _________________________________________
POSTAL CODE: _______________________ HOME NUMBER: __________________________
MOBILE NUMBER OFFICE NUMBER
E-MAIL ADDRESS
MOTHER: ______________ _____________ __________________________________
FATHER: ______________ _____________ __________________________________
GUARDIAN: ______________ _____________ __________________________________
(IF APPLICABLE)
IN CASE OF EMERGENCY, PLEASE CONTACT: (PLEASE NOMINATE A PERSON NOT LIVING WITH YOU)
NAME: ______________________________________________________________________
LAST
FIRST
MIDDLE
NRIC/PASSPORT/FIN: ________________________MOBILE NUMBER: ___________________
E-MAIL ADDRESS: ______________________________________________________________
RELATIONSHIP TO APPLICANT: ___________________________________________________
EDUCATIONAL DETAILS
HAS YOUR CHILD ATTENDED SCHOOL BEFORE? YES NO
WAS IT IN A MONTESSORI ENVIRONMENT? YES NO
REFERRALS AVAILABLE ? YES NO
N/A
 I enclose a $288.00 payment (cheque made payable to CASA DEI BAMBINI MONTESSORI FOR CHILDREN PTE LTD as application
fee for registration for admission of my child for a 3-hour, 5 days a week session (excluding school and public holidays);
 I understand that this application, if accepted, is not a guarantee, for obtaining a placement nor a placement by
requested enrolment date;
 I understand that my child may be offered a morning (9.00 – 12.00) or afternoon (2.00 – 5.00) session, depending on the
waiting list at MFC Kindergarten and the position of my application on that list, subject to condition below;
 I understand that the fee paid is not refundable unless my application is rejected, in which case I am eligible for a
refund of $288.00 not later than 30 days from my application being received at MFC Kindergarten.
___________________________________________________________________________________________________
NAME OF PERSON SUBMITTING
SIGNATURE
DATE