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ATTENTION PRIMARY APPLICANTS – Our Primary Classroom for 2022-23 is currently full. All new applicants will be placed on a waitlist. If we are unable to accommodate your child this school year, we will issue a refund of the application fee.

☐ 2022-23
☐ Primary (3y): Half Day (9:00a-12:00p), M-F
☐ Primary (3-6y): Full Day (9:00a-3:00p), M-F
☐ Lower Elementary (6-9y): Full Day (9:00a-3:30p), M-F
I will require extended care for my child (available after school until 5 pm).

Student Information

Please complete the fields below with information about the child for whom you are applying.

If the name your child goes by is different from the given name, please list it here.
☐ Male
☐ Female

Parent / Guardian 1

Parent / Guardian 2

Background information

Please list all schools your child has attended in the past.
Elementary applicants can select N/A.
Please list any allergies that your child may have. Write N/A if none.
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 therapy 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?
I agree that the information provided above is correct and my application is not complete until I submit the required application fee.