Inquiry form

Entering

Entering Year

Entering Grade

Student Information

First

Middle

Last

Preferred Name

Gender

Boarding or Day

International

Yes
No

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Citizenship

Person Inquiring

Relationship to Student

Email

Wireless Phone

Parent/Guardian Information

Prefix

Name

First

Middle

Last

Suffix

Address same as student

Yes
No

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Relationship to Student

Custodial parent

Yes
No

Wireless Phone

Email

Current School

Current School Name

Current Grade

Interests

Please indicate if you are interested in the following.

Arts and Music

Yes
No

Athletics

Yes
No

Extra Curriculars

Yes
No

Referred by

Referred by existing family

Yes
No

Name of family

Additional referral notes

How did you hear

Other

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