I, authorize my student, , to arrive/depart to and from Desert Garden Montessori, located at 5130 East Warner Road Phoenix, AZ 85044.

I further give him/her permission to sign him/herself in and out of Desert Garden Montessori. I understand that before the student arrives and once the above student leaves the premises, Desert Garden Montessori is not liable for his/her well-being. (NOTE: Once a student signs out & leaves campus, student may not return until next school day.)

Student’s Home Address:
Student’s Mode of Transportation:
Address #2 (optional):
Effective Dates: from to

Contact Information:

Parent/Guardian Email:
Home Tel:
Cell:
Work Tel:
Other Tel:

By typing my name below, I agree to conduct business with Desert Garden Montessori by electronic means. I intend, by typing my name below, to “sign” the preceding document and to be bound by its terms and conditions.

Parent/Guardian Name:

Parent/Guardian Signature::

Date: