Indicate which year you would like to be put on the waitlist for. *
Required
How many days/week would you like your child to attend school. This will determine what class options we may have for them. Check any you would consider. *
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Please note which class would be your first choice. *
List any special circumstances to consider for class placement. Examples might include an IEP, health concerns or needs, ESL, special therapies, etc.
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Parent(s) Names *
Your answer
Parent's Email *
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Parent's Phone Number *
Your answer
Please select any of the following that apply to your family.