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Request Information

Thank you for your interest in our school!

Please fill out the form below and our Admissions Office will contact you.

* Indicates a required field.

Parent / Guardian Information
  • First Parent / Guardian
  • First Name *
  • Last Name *
  • Salutation *
  • Email Address *
  • Confirm Email Address *
  • Cell Phone *
  • Second Parent / Guardian
    (leave blank if not applicable)
  • First Name *
  • Last Name *
  • Salutation *
  • Email Address *
  • Confirm Email Address *
  • Cell Phone *
Home Address
  • Street Address
  • City
  • Country
  • State
  • Zip
  • How Did You Hear About Us? *
    Details:

  • What are your student's primary learning differences?
    *

  • Do you have updated diagnostic testing (within three years)?
    * Yes   No

  • Would you like to attend our Friday, Oct 11 2024 VIRTUAL OPEN HOUSE?

  • Would you like to attend our Thursday, Nov 14 2024 ON CAMPUS LOWER SCHOOL 1st - 6th OPEN HOUSE? 

  • Would you like to attend our Friday, Jan 24 2025 ON CAMPUS 1st - 12th OPEN HOUSE? 

  • Would you like to attend our Friday, Mar 28 2025 VIRTUAL OPEN HOUSE? 
  •  
  • Student 1
  • First Name *
    Last Name *
  • Birthdate *
    (mm/dd/yyyy)
  • Grade Level of Interest *
    School Year *
  • Current School
  •  
  • Is There Another Student?
    Yes No
  •  
  • Parent / Guardian Notes
  •