Parent/GuardianName *

First Name

Last Name

Phone *

(###)

###

####

I am interested in starting in the following academic year: *

2024/25

2025/26

Based on the academic year selected above, which program(s) are you interested in? *

(select all that apply)

TK/Kindergarten (age 4/5)

Grade 1

Grade 2

Grade 3

Grade 4

Grade 5

Grade 6

Chapel Grades 1-3

Chapel Grades 4-6

Art Grades 1-6

Enrichment Classes Grades 1-6

Do you attend a local church? *

Yes

No