Middle & High School
Application

Name *

First Name

Last Name

Date of Birth *

MM

DD

YYYY

Phone *

(###)

###

####

Home Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Name *

First Name

Last Name

Phone *

(###)

###

####

Use the same address as the student.

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Sibling 1

First Name

Last Name

Sibling 2

First Name

Last Name

Sibling 3

First Name

Last Name

Are you applying to any other schools?

Yes

No

How did you hear about the Elms?

Email

Facebook

Google

In-Person event

Instagram

Postcard

Word of Mouth

Agreement *

I understand that checking this box constitutes a legal signature confirming that I acknowledge and agree to the above Terms of Acceptance.