BRWS 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 attend a school tour or open house?
If yes, which TOUR would you like to attend? You may choose more than one:
If yes, which OPEN HOUSE would you like to attend? You may choose more than one:
Would you like to receive our quarterly newsletter?
Would you like to be invited to some of our school events (speaker nights, school fairs, etc)?
How did you hear about Berkeley Rose?
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