Tierra Montessori School
18706 Hatteras Street Tarzana, California 91356
818 343-1794
 Founded in 1972
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Application for Admission



Child's First Name:    Last name:      Birthdate:

Previous Schooling:                 Age of Child:

Father's name:                      Home Phone:

Street address:                       City:                    Zip:

Occupation:                      Work Phone:

Work address:                       City:                    Zip:

Does the father live with the child? Cell or pager number
Yes No                             
Mother's name:                      Home Phone:

Street address:                       City:                    Zip:

Occupation:                      Work Phone:

Does the mother live with the child? Cell or pager number
Yes No                             

When submitting this application for enrollment, a $125.00 deposit and a $75.00 registration fee is required. Enrollment is not valid without a deposit and registration fee. Both deposit and registration fees are non-refundable.

Desired admission date:
[Calender]
Email address:

Comment:

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