Parent Information
Primary Contact Name *
Primary Contact Name
Phone *
Phone
Address
Address
Academic Year of Interest *
please select the soonest Academic year of interest
Language Program Preference *
choose all languages you are interested in
Child Information
1st Child's Name *
1st Child's Name
1st Child's Date of Birth *
1st Child's Date of Birth
2nd Child's Name
2nd Child's Name
2nd Child's Date of Birth
2nd Child's Date of Birth
List current school attended by either child and specify which. If home schooled please specify curriculum used if applicable.
Family Information
Please specify which languages are Native and which are secondary languages.
Other Information
please add requested details below
who referred you, what did you search on, what was the festival or open house date you visited, etc...
Are you interested in an after-school Enrichment Programs? *
Check all programs you are interested in
Are you interested in Adult Language Lessons? *
check all that you are interested in
Please let us know any other details about you, your family, or your child that you feel are important for us to know. Such as additional children, relocating from, transferring from another school, etc.