Child's Name
*
First Name
Last Name
Child's Middle Name
Child's Preferred Name
Child's Birthday
*
MM
DD
YYYY
Child's Gender:
*
Child Lives In:
*
Parents/Guardians Are:
Applicant Is:
*
We Are Interested In:
*
This application is for the year:
(Tuition for the upcoming school year is determined by the Board of Directors in January and will be updated at that time.)
This application is for grade:
*
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
Desired Start Date:
*
MM
DD
YYYY
Who accepts financial responsibility for school expenses?
*
Parent/Guardian 1
*
First Name
Last Name
Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Email
*
Phone
*
(###)
###
####
Occupation
*
Employer
*
Parent/Guardian 2
First Name
Last Name
Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Email
Phone
(###)
###
####
Occupation
Employer
Sibling 1
First Name
Last Name
Age
Grade
Sibling 2
First Name
Last Name
Age
Grade
Sibling 3
First Name
Last Name
Age
Grade
Name(s) of previous & current school(s), including homeschool:
Years Attended:
City
State
Is your child transferring from another school? If “yes”, what is motivating this transfer from your child’s current school?
Does your child have any physical impairments or allergies which would in any way affect participation in the full range of school activities?
Yes
No
If "yes", please describe:
Does your child have any recent serious physical or emotional illness which requires or has required the care of a physician?
Yes
No
If "yes", please describe:
How likely is your child to distract or be easily distracted by others?
Do you suspect that your child may have any of the above delays or differences?
Yes
No
If "yes", please describe:
Has your child ever worked under an Individualized Education Plan (IEP)?
Yes
No
If "yes", please explain, including the date of the last IEP:
Please comment on your reasons for being drawn to MSCS for your child:
What additional information would you like us to know about your child at this stage in the application process?
Please tell us more about your child’s strengths and challenges academically and socially:
Referred to Mountain Sun by:
By checking these boxes you understand and agree to the following statements:
*
