Clear Form
☐ September 2021-August 2022
☐ September 2022-August 2023
☐ Full School Day - 5 Days
☐ Full School Day - 3 Days
☐ Full School Day - 2 Days
☐ Extended Day - 5 Days
☐ Extended Day - 3 Days
☐ Extended Day - 2 Days
☐ Half Day - 5 Days
☐ Half Day - 3 Days
☐ Half Day - 2 Days


☐ M
☐ F

Parent / Guardian 1

Parent / Guardian 2

Background information

What are your educational goals for your child? How do you see us facilitating these goals?
What role can we expect the child's parent(s)/guardian(s) to play in facilitating this child's educational goals?
Does your child have any hobbies, sports, or special interests, capabilities or talents?
How do you see your child in their social and emotional development?
Please list every school that your child has attended. If none, enter "N/A"
Does your child have any special needs (educational, medical, or psychological)? Has your child received any testing or evaluations that would relate to their academic or social performance? Please have copies sent of tests or evaluations that your child has taken.
☐ Instagram
☐ Facebook
☐ Internet Search
☐ Friends or Family
☐ Sign at the park
☐ Other

Non-Discrimination Policy

We value diversity among our students. We do not discriminate in our enrollment policies on the basis of race, color, gender, religion, sexual orientation, national or ethnic origin.