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Online Applications

Student's First Name*
     
Student's Last Name*
     
Middle Initial
     
Address Line 1*
     
Address Line 2
     
City*
     
State*
   
Zip Code*
     
Phone Number*
     
Email Address*
     
Male/Female
   
Date of Birth (mm/dd/yyyy)*
     
How did you first hear of our school?
   
Word of Mouth
Educational Consultant
Placement Officer
School Fair
Advertisement
Internet
Other:
Present School
     
Program of Interest*
   
Preschool 3 year old
Preschool 4 year old
Kindergarten
First Grade
Second Grade
Third Grade
Fourth Grade
Fifth Grade
Sixth Grade
Seventh Grade
Eighth Grade
Other:
Interests
   
Art
Basketball
Cross Country Running
Cycling
Music
Soccer
Theater
Track and Field
Other:
Father's Name*
     
Father's Address
       
Father's Occupation
     
Mother's Name*
     
Mother's Address
       
Mother's Occupation
     
Who is financially resposible for the applicant?*
   
Father
Mother
Grandparent
Guardian
Other:
Do you anticipate requesting tuition assistance?
   
Yes
No
Comments
       
If you would like a copy of this submission, please put your email address in the field below.

Please Note: Questions marked with an asterisk (*) are required.

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