Pre-School - Grade 4
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

Additional Parent or Guardian

First Name

Last Name

Sibling 1

First Name

Last Name

Sibling 2

First Name

Last Name

Sibling 3

First Name

Last Name

Does your child have a current IEP or Service Plan? *

Please provide the most recent copy of your child's plan to the Admissions Office.

Yes

No

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

Local Newspaper/Magazine Ad

Parish Bulletin

Agreement *

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