PSD Options Enrollment Application
APPLICATION: Thank you for your interest in the PSD Options enrichment program! Please complete the entire application if you are interested in enrollment for the 2018-2019 school year. One application must be completed for each child that you wish to enroll at PSD Options.

PROCESS: Available spaces will be determined based on number of returning students, siblings, and class / grade enrollment. Based on the information in your application, we are happy to notify you when spaces become available for your children. At that time, you may complete the formal enrollment packet.

Email address *
Student First Name *
Your answer
Student Last Name *
Your answer
Student Grade Level in August *
Average/typical grade level based on age (though we understand children may perform above and/or below this range).
Student Birthdate *
MM
/
DD
/
YYYY
Student's prior school experience *
Please check all that apply.
Required
How did you hear about PSD Options? *
Please check all that apply.
Required
Which features of the Options Program most interest you and your family? *
Please check all that apply.
Required
Your name *
Please enter the name of the adult completing this application.
Your answer
Relationship to student *
Phone Number *
Please enter your phone number in the format xxx.xxx.xxxx
Your answer
Street Address *
Your answer
City *
Your answer
State *
Please enter your state as a two-letter code, using all caps.
Your answer
ZIP Code *
Your answer
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