Online Admission Form

^* items are required.
Enter "N/A" for any fields that do not apply.

Enrolling for ^* school year

Students

Please provide all student's information to be enrolled.

First Name ^*

Middle Name ^*

Last Name ^*

Date Of Birth ^*

Gender ^*

Grade applying For ^*

Street Address^*

City ^*

State/Region.^*

Father's Information

Full Name ^*

Cell Phone ^*

Work Phone

Mother's Information

Full Name ^*

Cell phone ^*

Work Phone

Nanny's Information

Someone who can pick up the child in your absences, if any

Full Name

Cell Phone

Parent/Guardian questions

Please answer the following questions completely and candidly.

Please describe your child's special interests or skills.^*

Please describe the type of setting in which your child learns best.

Please describe your child's academic strengths and weaknesses. ^*

Does your child have any health irregularities, allergies, or educational challenges that might interfere with admission testing or normal classroom and/or physical education activities? If yes, please explain. ^*