Clear Form
☐ 2021 Summer
☐ 2021-22
☐ Half Days(8:00a-11:45a)
☐ Full Days (8:00a-3:00p)
Will you need wrap around care for your student(s)?

Child

☐ M
☐ F

Parent / Guardian 1

Parent / Guardian 2

Background information

Please list every school that your child has attended
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.
  • This form is an application and does not guarantee enrollment. Once this form is received our admissions director will contact you to confirm enrollment based on availability.

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.