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Request Information

Thank you for your interest in our school! Please join us on February 5, 2019 for our Open House from 4:00 pm to 6:00 pm. During Open House you will have the opportunity to meet the teachers as well as staff, take a tour of our campus and review our curriculum. 

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

Open Enrollment for the 2019-2020 School Year will begin March 4, 2019.

* 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:
  • Will you be applying for financial aid?

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