BRS Inquiry Form
Email address
Child's Full Name
Your answer
Child's Date of Birth
MM
/
DD
/
YYYY
What program or grade are you interested in?
Guardian 1 Full Name
Your answer
Guardian 2 Full Name
Your answer
Please list any other children & DOB
Your answer
Mailing Address
Your answer
Best phone number to contact you
Your answer
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?
How did you hear about Berkeley Rose?
Your answer
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