Grade Applying For
If PreK 3, please choose an option
5 Full Days ($5,600/yr)
3 Full Days ($4,200/yr)
2 Full Days ($3,6/yr)
3 Half Days ($3,025/yr)
2 Half Days ($2,410/yr)
5 Half Days ($4,200/yr)
If PreK 4, please choose an option
5 Full Days ($4, 700/yr)
3 Full Days ($3, 760/yr)
5 Half days ($3,385/yr)
3 Half days ($2,870/yr)
Student Last Name
Student First Name
Student Middle Name
Place of Birth
Public School District in which the student resides:
Ethnic Background (optional)
This is used for NYS reportable data
American Indian or Alaska Native
Pacific or Native Hawaiian
If the Student is Catholic, please provide the Baptism date and the church.
Student Lives With
The school assumes that both parents have full parental custody. If this is not the case, it is the responsibility of the parents to provide the school with that portion of the divorce decree or separation agreement that articulates parental and residential custody. Should any changes occur during the year, please inform the school.
Check here if the school should expect a custody document
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