Admission Form

Parent Information
Mother's Name *
Mother's Name
Mother's Phone *
Mother's Phone
Father's Name
Father's Name
Father's Phone *
Father's Phone
Address *
Address
Preferred Contact Person *
Specify perferred contact if other than parents
Specify perferred contact if other than parents
What is the best method of contact? *
Student lives with: *
Please check one
Student
Student Name
Student Name
Date of Birth *
Date of Birth
US Citizenship *
English is a second language at home *
Is a language other than English used in your home? *
If YES, Is that language spoken in the home *
What was the date (month and year) your child first enrolled in any U.S. school (Private or Public, but not PreK) Indicate if the student left the U.S. for a school year(s): *
What was the date (month and year) your child first enrolled in any U.S. school (Private or Public, but not PreK) Indicate if the student left the U.S. for a school year(s):