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Parent Name (First and Last) (required)

Parent Email (required)

Parent Phone Number (required)

Subject

For Each Child, please list their Name, Age, Date of Birth, Grade Enrolling
Example: "Mary Smith, 10, Jan/01/2006, 5th grade"

Approximately what date are you planning to enroll?

Are any of your children learning different or gifted, or do they have special needs?

Please list any scholarships you currently have or plan to use

If Yes, have you filled out Parental Intent?
YesNoUnknown

If Yes, have you been approved for Parental Intent?
YesNoUnknown

How did you hear about us?

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