Clear Form
☐ 2021-22
☐ Primary


☐ M
☐ F

Parent / Guardian 1

Parent / Guardian 2

Background information

If not, please explain-- e.g. diapers, pull-ups, beginning toilet training, nearing independence?
Please list the name of each facility, dates attended, and any comments on the experience.
What are your educational goals for your child? How do you see us facilitating these goals?
Please describe what reasonable accommodations could be made to support those needs.
If so, please share any information that would help us better understand your child's needs.

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.