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Thank you for your interest in our school!

Please make sure the Email & Phone number you enter are correct.

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Parent / Guardian Information
  • First Parent / Guardian
  • Last Name *
  • First Name *
  • Email Address *
  • Cell Phone
    (Ex: 999-999-9999)
  • Home Phone *
    (Ex: 999-999-9999)
  •  
  • Student 1
  • First 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
  •