Clear Form
☐ 2022-2023 School Year
☐ 2023-2024 School Year
☐ 2024-2025 School Year
☐ Full Day Elementary

Child

Does your child have a nickname they prefer?
☐ M
☐ F

Parent / Guardian 1

Parent / Guardian 2

Background information

Name, Age, Current School
Please list every school that your child has attended.
What are your educational goals for your child?
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 additional help, 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?
Are there any areas in which we may be able to give special help and encouragement to your child?
Are there any special skills you have that you would be willing to use for the benefit of our learning community?
Is there anything else that you would like for us to know?

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.