Programs Application
Thank you for your interest in Brown Institute! This application is only used for our academic programs: tutoring, book club, Saturday Academy, etc.  

This application is not used for school enrollment. If you wish to enroll your child in our microschool, please go back to our website to complete our pre-registration form.

A member of our administrative team will contact you. 
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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.
Child's Full Name *
Child's Date of Birth *
MM
/
DD
/
YYYY
Child's Gender *
Child's Entering Grade Level  *
Primary Residence (Include city, state, & zip code) *
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? *
Cell Phone Number *
Email Address *
Parent # 2 Full Name
Relationship to Child
Resides at same address as child?
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Cell Phone Number
Email Address
Programs of Interest *
Required
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