Inquiry Form

Neighborhood Schoolhouse Inquiry Form

Today's Date is


Child's Name:  
Date of Birth: 

Other Child's Name (optional):  
Date of Birth: 

Program Interest

2 morning preschool (M,T) 3 morning preschool (W,T,F) 5 morning preschool (8:30-12:00)
kindergarten (8:30-1:00) primary, full-day (8:30-3:00) elementary, full-day (8:30-3:00)
pre-k (8:30-1:00)    

Potential Enrollment Date:  

Parent Information:

Name:  

Address:  

Home Phone:  

Work Phone:  

Second Parent Information (if applicable):

Name:  

Address:  

Home Phone:  

Work Phone:  

How did you hear about us?  

Are you considering other schools?  

Additional Questions or Comments:

  

 
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