New Student Registration Request

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Thank you for your interest in Hochstein!

Please fill out this form to let us know about your interest, and we will be in touch with you shortly to answer questions and help you register. Your registration will be complete once you receive the final schedule.

Please submit a separate registration request form for each family member.

Tuition assistance is available on a sliding scale for those who qualify. The application form is available here.
https://hochstein.org/Registration/Tuition-Assistance-Need-Based-Scholarships

Email *

Student (Last name, First name) *

Student's Date of Birth

YYYY

Mailing Address (Street, City, State, Zip Code) *

Primary Phone Number *

Cell Phone (if different from the primary phone number)

Gender

Preferred pronouns

The Hochstein School compiles demographic information for statistical purposes, as many funders require us to share these details. It directly impacts how we are able to provide tuition assistance for students and families. Please select the racial/ethnic group with which you primarily identify(your personal information is kept strictly confidential). *

Asian

African American or Black

Bi-Racial

Caucasian or White

Latino or Hispanic

Native American or Alaska Native

Native Hawaiian or Pacific Islander

I choose not to answer this question

Clear form

Never submit passwords through Google Forms.

This form was created inside of The Hochstein School. Report Abuse

Forms