ADMISSION FORM

Student's First Name

Student's Last Name

Email Address

Telephone

Date of Birth

Gender GenderFemaleMaleNon-binaryOther

Entering Grade Entering GradeLittle SchoolLower SchoolMiddle SchoolUpper School

Entering Year Entering Year2023 - 20242024 - 2025

Parent's Last Name

Parent's First Name

Address

City

State

Zip code

Current School Name

Current Grade Current GradeNot Attending SchoolPre-KindergartenKindergarten

Address same as student Address same as student Yes No

Resides with Resides with Yes No

Relationship to Student Relationship to StudentMotherFatherStep-motherStep-fatherGrandparentGuardianSelfOther

Parent's Phone

Parent's Email

How did you hear about us? How did you hear about us?Google SearchWord of MouthBaltimore MagazineBaltimore's Child magazineFacebook adWelcome to our Neighborhood mailingChurch BulletinOtherDrive by/ LocalOpen House poster in the community

If Other, please explain

Referred by existing family Referred by existing family Yes No

What specific characteristics are you looking for in a school?

Please list your child's academic and extra-curricular interests.