Clear Form
Request a session to begin attendance
☐ 2020 Summer
☐ 2020-21 School Year
☐ 2021 Summer
☐ 2021-2022 School Year
☐ 2022 Summer

Child

☐ M
☐ F
☐ Morning Half Day
☐ Full Day
☐ Afternoon Half Day
Select date of most recent well child check up

Mother / Guardian

Father / Guardian

Background information

Please list any school or group that your child has attended
What are your educational goals for your child? How do you see facilitating these goals?
What role can we expect the child's parent(s)/guardian(s) to play in facilitating this child's educational goals?
Please describe your child's educational experience thus far. What has been successful? What has been challenging?
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.