Inquiry Form Parent Name * First Name Last Name Parent Email * Parent Phone * (###) ### #### Student Name * First Name Last Name Student School * Student Grade * First Name Last Name Program(s) of Interest * Student Grade Option 1 Option 2 Student's Availability Preferences (Day) Monday Tuesday Wednesday Thursday Friday Saturday Student's Availability Preferences (Time) Morning (9:00AM - 12:00PM) Mid-day (12:00PM - 3:00PM) Afternoon (3:00PM - 6:00PM) Evening (6:00PM - 8:00PM Please list any extracurricularactivities your child participates in. If none, please write "N/A." * If you have a message for us, please share it here. Thank you!
