Brown Institute for Young Learners Application
Thank you for applying for enrollment! A member of our administrative team will contact you shortly.  

Please be aware that a completed application includes the application fee of $15, payable at this link: app.autobooks.co/pay/brown-institute-for-young-learners
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Email *
Child's Information
The following questions pertain to the child being enrolled. If you have more than one child enrolling, please complete an application for each child.
Full Name *
Date of Birth *
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Gender *
Grade Level (Sept. 2022) *
Primary Residence (Include city, state, & zip code) *
List any previous school experience(s)
Parent's Information
The following questions pertain to the parent or guardian.
Parent # 1 Full Name *
Relationship to Child *
Resides at same address as child? *
Occupation *
Work Phone Number *
Cell Phone Number *
Email Address *
Parent # 2 Full Name
Relationship to Child
Resides at same address as child?
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Occupation
Work Phone Number
Cell Phone Number
Email Address
Programs of Interest *
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