Application Parent/Guardian Name 1 * First Name Last Name Parent/Guardian Name 2 First Name Last Name Email * Address Address 1 Address 2 City State/Province Zip/Postal Code Country Phone (###) ### #### Student Name * First Name Last Name Student Birthdate * MM DD YYYY What grade will your child be upon enrollment? * K 1st 2nd 3rd 4th 5th What Term are you applying for? * 2024-2025 What is your Child's gender? Male Female Prefer not to say Does your child have any allergies? * Name 3 things your child is interested in. * Which subject does your child work at with little effort? * Which subject(s) does your child struggle with? What are 3 things you would like your child to explore? Does your child have special needs, IEP or 504 plan? * Is there anything else you would like us to know? Thank you!
