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Request Information

Thank you for your interest in our school!

Please fill out the form below and our Admissions Office will contact you and provide the information you desire.

* Indicates a required field.

Parent / Guardian Information
  • First Parent / Guardian
  • Last Name *
  • First Name *
  • Middle Name
  • Salutation *
  • Email Address *
  • Gender
    Male    Female
  • Work Phone
    (Ex: 999-999-9999)
  • Cell Phone *
    (Ex: 999-999-9999)
  • Second Parent / Guardian
    (leave blank if not applicable)
  • Last Name *
  • First Name *
  • Middle Name
  • Salutation *
  • Email Address *
  • Gender
    Male    Female
  • Work Phone
    (Ex: 999-999-9999)
  • Cell Phone *
    (Ex: 999-999-9999)
Home Address
  • Street Address *
  • City *
  • Country *
  • State *
  • Zip *
  • Home Phone
    (Ex: 999-999-9999)
  • How Did You Hear About Us? *
    Details:
  • How many days a week are you interested in?

    *
  • Our main program is Monday through Friday 8:30-11:30. We do have additional programs for our families convenice. 

    Early Morning Drop Off M-F 8am-8:30

    Specialtiy Enrichment M-Th 11:30-1:00

    Discovery Kids Zone (3 y/o) M-Th 11:30-2:30

    Kinder Academy  (4 y/o) M-Th 11:30-2:30

    Please let us know if any of these addditional programs are of interest to your family? 

     

    *
  • We are currently enrolling for the 2020-2021 school year (Sept- Jun)

    When are you hoping to finalize your plans for your child's school.   

     

    *
  •  
  • Student 1
  • First Name *
    Middle Name
    Last Name *
  • Birthdate
    (mm/dd/yyyy)
    Email Address *
    Gender
    Male    Female
  • Grade Level of Interest *
    School Year *
  • Current School
  •  
  • Is There Another Student?
    Yes No
  •  
  • Parent / Guardian Notes
  •