Name (Parent/Caregiver) *

First Name

Last Name

Phone *

(###)

###

####

Mailing Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Physical Address (if different from mailing)

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Student's Name *

First Name

Last Name

Student's Birthday *

MM

DD

YYYY

What School Year are You Interested in Your Student Enrolling? *

2024-2025

2025-2026

Grade Student is Entering *

Kindergarten

1st Grade

2nd Grade

3rd Grade

4th Grade

5th Grade

6th Grade