* School: (select a school from the list) Bonsall Elementary Carmel Mountain Preschool Childs Primary School Coronado Village Elementary - [K-3 GRADE CLASS FULL] Country Montessori El Camino Creek Elementary - [CLASS IS FULL] Flora Vista Elementary Francis Parker - (SIGN UP AT SCHOOL OFFICE) Kinderhouse Montessori - (THURSDAY or FRIDAY) La Costa Heights Elementary Magnolia Elementary Mission Estancia Elementary Olivenhain Pioneer Elementary Park Dale Lane Elementary Paul Ecke Central Elementary School of Madeleine - (SIGN UP AT SCHOOL OFFICE) Silver Gate Elementary St. John School - (SIGN UP AT SCHOOL OFFICE) St. Vincent de Paul - [K-4 GRADE FULL / 5-6 GRADE OPEN]

* Session: (select the session) Session 1 - Fall - (FINISHED) Session 2 - Winter Session 3 - Spring Session 4 - Late Spring (Encinitas Only)

* Student Name: * Age: * Grade:

* Primary Phone:  Secondary Phone:

* Email Address:

* After Class: (select one) Child will be picked up from school Child will go to daycare/aftercare Child will walk home

By typing my full name below I hereby consent for my child to attend Monart:

*

* (check one): PAYMENT MUST BE ARRANGED IN ORDER TO SECURE A SPOT

pay by check  (make checks payable to "Monart" for amount listed on flyer)

pay by credit card  (fill out card info below  or  call in your card with the office)

       Card #  Exp.  CVC (3 digits on back)

       Comments:

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