Application for Enrollment

Thank you for registering!

Please fill out the application form below and we will reach out as soon as possible.

This field is for validation purposes and should be left unchanged.

Student Information

Student's Full Name(Required)
MM slash DD slash YYYY

Parent/Guardian Information

Parent 1/Guardian's Name(Required)
This Parent/Guardian will receive all email notifications and communications. Please fill in the required Parent 1/Guardian email address below.
Parent 2/Guardian's Name
Primary Contact?(Required)
With whom does the student reside?
Student’s Primary Address(Required)
Primary address is
Student’s Secondary Address
Secondary address is
Parents are

Additional Student Information

Sibling(s) Name

Required Documents & Assessments

This information can be provided or discussed at or after the Parent/Headmaster conference.
Immunization Records / Immunization exemption card provided?
Most Recent Report Card / Transcripts Provided?
Attendance Record Provided?
Behavior Record Provided?
McCall Crabbs Reading Proficiency Assessment Completed?
Math Mammoth Assessment Completed?
Enrollment Agreement / Payment Plan Agreement Signed?