Online Application A

Undertake Parent Survey and convey results on the application below.

Child's Name *
Child's Name
If signing up for PreK, how many days?
Check box if you are signing up for the Grade 7-12 Flex Program?
Date of Birth
Date of Birth
Parent 1 Name
Parent 1 Name
Phone - Home
Phone - Home
Phone - Cell
Phone - Cell
Parent 2 Name
Parent 2 Name
Phone - Home
Phone - Home
Phone - Cell
Phone - Cell
Check box if tuition is sponsored by your employer.