ADMISSION FORM

Health Details
Doctor's Name*

First NameLast Name
Doctor's Telephone No.*

Area CodePhone Number
Details of ANY Allergies or Handicaps
Anything Else We Should Know About Your Child
Rides

I authorize the following people to pick up my child from Boa Ventura Montessory School
Name*

First NameLast Name
Phone Number*

Area CodePhone Number
Name*

First NameLast Name
Phone Number*

Area CodePhone Number

Admission Details
Proposed Term of Entry*

DayMonthYear
Date
Proposed Term of Leaving*

DayMonthYear
Date
I give permission to allow a staff member of Boa Ventura Montessory School to transport my child to Clínica Europa to be attended to by a health care profissional in case none of my child's emergency contacts answer at the time of call and if Adélia believes it to be in the interest of my child.
I agree to abide by the Conditions of the School, a copy of which I have received.
Digital Signature*

Browse Files
Or a photography of your signature Cancelof
Date*

DayMonthYear
Date
I Enclose an Enrolment Fee ON ADMISSION (Non-returnable)
€
Should be Empty:

Child Info