BRS Inquiry Form
Child's Full Name
Child's Date of Birth
What program or grade are you interested in?
Grade 5 (available starting 2017-18)
Grade 6 (available starting 2018-19)
Guardian 1 Full Name
Guardian 2 Full Name
Please list any other children & DOB
Best phone number to contact you
Would you like to receive our quarterly newsletter
Would you like to attend a school tour
If yes, will you be attending a tour at our Cedar St (nursery) or Hillegass Ave (K-grades) campus?
2138 Cedar Street, Berkeley
2515 Hillegass Ave, Berkeley
How did you hear about Berkeley Rose?
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