Please provide the following contact information:

First Name
Last Name
Work Phone
Home Phone
E-mail

Choose one of the following options:

Please call me at my home telephone number
Please call me at my work telephone number
Please contact me via email
Please send out an application packet

Information about child applying:

First Name
Last Name
Middle Initial
Date of Birth
Sex	Male Female

Grade Applying for Nursery (must turn 3 by December 1st) Pre-Kindergarten Kindergarten 1st grade 2nd grade 3rd grade 4th grade 5th grade 6th grade

Any questions?  Use the space below to ask any other questions or provide additional information.