Clear Form
Enrollment Form
☐ 2022-2023 School Year
Please click the arrow to register for class schedule for your child
☐ Primary (3-6y): 4 Mornings (8:15a-12:30p)
☐ Primary (3-6y): 4 Full Days (8:15a-3:30p)
☐ Primary (3-6) ADD: Friday Morning 8:15-12:30


☐ M
☐ F

Mother / Guardian

Father / Guardian

Background information

Please list every school that your child has attended
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 describe your child's educational experience thus far. What has been successful? What has been challenging?
Has your child had any remedial work, special tutoring, or enlightenment classes in the past two years? Please explain.
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.
Are there any areas in which we may be able to give special help and encouragement to your child?

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.

Does you child have any allergies?
Does your child have any allergies to food, medications or other type? If so please list
Please indcate any abnormalities- if any found
If so, please explain
Please list language(s) spoken at home