Student Information
First Name
*
Last Name
*
Gender
select
Female
Male
Birthdate
*
RadDatePicker
RadDatePicker
Open the calendar popup.
Calendar
Title and navigation
Title and navigation
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Current Grade
*
select
Other
Infant (Ages 3mon-18mon)
Toddler (Ages 18-36mons)
Primary (Ages 3-6)
Lower El (Ages 6-9)
Upper El (Ages 9-12)
ErdKinder (12-18)
Household Information
Parent/Guardian 1
First Name
*
Last Name
E-Mail Address
*
Cell Phone
Parent/Guardian 2
First Name
Last Name
E-Mail Address
Cell Phone
How did you find out about our School?
Source
select
Other
Internet Search
School Website
Friend of School
Parent Referral
Student Referral
{1}
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