First Name*

Last Name*

Email Address*

Phone Number*

Upcoming Events*—Please choose an option—Open House November 19, 8:45amOpen House November 19, 9:30amOpen House November 19, 10:15amOpen House January 14, 8:45amOpen House January 14, 9:30amOpen House January 14, 10:15amOpen House February 4, 8:45amOpen House February 4, 9:30amOpen House February 4, 10:15amOpen House March 7, 8:45amOpen House March 7, 9:30amOpen House March 7, 10:15am

How did you first hear about us?*—Please choose an option—Radio Ad Shine 95.1fmMailWord of Mouth(Friend/Relative)Sign in front of schoolFlyerThrough WebsitePosterBrochure

Number of Children*

Grades you are considering?PreKindergarten(4yr)KindergartenFirst GradeSecond GradeThird GradeFourth GradeFifth GradeSixth GradeSeventh GradeEighth Grade

Street Address

City

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Postal Code