Prairie Academy 2018-2019 New Student Application Form
Email address *
Applicant Information
This application is for Prairie Academy's 2018-2019 school year
Date of Application
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How did you hear about Prairie Academy *
Applicant's Name (last, first, middle, preferred name) *
Your answer
Grade Applying For
Desired Start Date (2018 school year begins September 4, 2018)
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Applicant's Date of Birth
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Current Age
Your answer
Gender
Nationality *
Ethnicity (check all that apply) *
Required
Applicant's Home Address
Your answer
Primary Phone Number *
Your answer
Email Address *
Your answer
Other Schools Considering
Your answer
Applicant's Proficiency in English
Preschool APPLICANTS ONLY: If the applicant will be three years old by September 4, 2018 when entering the school, would you prefer the full- or half-day Preschool option?
Is your child currently placed in his/her age-appropriate class?
If not, please explain.
Your answer
Does the applicant have any medical conditions you would like us to be aware of? *
If yes, please specify
Your answer
Does the Applicant Require Before and After School Care?
Will you be able to afford a full-time tuition of $15,500 for the 2018-2019 school year?
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