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Stargate
Montessori

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Open Enrollment Form

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Child's Information

Full Name

Date of Birth

Gender

Current Age

Parent/ Guardian Information

Parent/Guardian 1 Name

Relationship to Child

Cell Phone Number

Email Address

Parent/Guardian 2 Name

Relationship to Child

Cell Phone Number

Email Address

Program Information

Desired Start Date

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Stargate Montessori

Call

502-504-3528

Email

info@stargatemontessori.com

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Hours

Monday - Friday

6:30 AM - 5:45 PM

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