Enrollment Form for the 2017-2018 Academic Year

Child's Name *
Child's Name
Child's Date of Birth *
Child's Date of Birth
TODDLER PROGRAM (1-3)
Please select which Toddler Programs you wish to enroll your child in
If you wish to sign your child up for the 2018-2019 or 2019-2020 academic year at MSM, please complete the waitlist form instead. Click on the black box at the top of this page to access it. Thank you!
CASA PROGRAM (3-6)
Please select which Casa Programs you wish to enroll your child in
Select all that apply
If you wish to sign your child up for the 2018-2019 or 2019-2020 academic year at MSM, please complete the waitlist form instead. Click on the black box at the top of this page to access it. Thank you!
Father/Guardian's Full Name
Father/Guardian's Full Name
Work Number
Work Number
Cell Number
Cell Number
Home Number
Home Number
Address
Address
Mother/Guardian's Full Name
Mother/Guardian's Full Name
Work Number
Work Number
Cell Number
Cell Number
Home Number
Home Number
Address
Address
Please be as Detailed as Possible

Every child begins with one week of orientation/transition time. This is achieved by attending one hour the first two days, two hours the next two days, and three hours the fifth day. This week is complimentary to parents.