Application for Admission
If you would like to be added to our waiting list, please complete and submit this application. You will not need to pay the registration fee of $95.00 until we are able to secure a slot for your child.

After you have submitted your application, please save the link to "edit your response." Should your contact information change, please keep your application up-to-date.

Today's Date *
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How did you hear about us?
Your answer
Applicant Information
Child's Last Name *
Your answer
Child's First Name *
Your answer
Child's Middle Name *
Your answer
Gender *
Child's Birthdate OR Due Date *
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All enrolled students must have a valid South Carolina Certificate of Immunization. Please check your child's certification status (listed at the top of DHEC 2740A).
Child resides with:
Street Address *
Your answer
City, State *
Your answer
Zip Code
Your answer
Home Phone
Your answer
Primary Caregiver 1
Name *
Your answer
Home address of primary caregiver 1
(if different from above)
Your answer
Employer
Your answer
Business Address
Your answer
Business Phone
Your answer
Cell Phone *
Your answer
Email Address *
Your answer
Primary Caregiver 2
Name
Your answer
Home address of primary caregiver 2
(if different than above)
Your answer
Employer
Your answer
Business Address
Your answer
Business Phone
Your answer
Cell Phone
Your answer
Email
Your answer
Enrollment Options
Enrollment Preference (First Choice) *
The cost per month listed below is the amount due every month. The tuition has already been pro-rated for holidays.
Enrollment Preference (Second Choice)
The cost per month listed below is the amount due every month. The tuition has already been pro-rated for holidays.
Part time scheduling preferences
If attending part time, which days would you like to attend?
Your answer
Please provide us with the name and birthdate of any sibling you may wish to enroll.
A reduced rate is available for siblings of enrolled students. Families who attend 5 extended days per week receive a $100 per month discount for the second child. Partial week or part time students receive a $25 per month reduction for the second child. The one-time application fee of $95.00 (payable to The Island School) will be required for each new student at the time of enrollment.
Your answer
Preferred Start Date *
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