+1.626.286.3108

INFORMATION REQUEST FORM


To have an information packet mailed to you, please fill out this form. If you have questions regarding admissions please email us at admissions@clairbourn.org.
Please provide the following contact information:

*​Bold Fields Are Required
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*Parent's First Name:
*Parent's Last Name:
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*Email:
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*Home Phone: (If none, use cell phone#)
Cell Phone:
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Street Address:
City:
State/Province:
Other State/Province:
Zip/Postal Code:
Country:
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Primary Language Spoken by Parent
Secondary Language Spoken by Parent
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Child's First Name:
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Birth Month:
Birth Day
Birth Year
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Gender
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Cultural/ethnic background of student:
(This information is optional and is used for statistical reporting to
the National Association of Independent Schools and other educational organizations.)
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Primary Language Spoken by Child
Secondary Language Spoken by Child
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Applicant's Current School:
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*How did you hear about Clairbourn School?
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How would you like to be contacted?
 Please call me  Please email me
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What information would you like to receive?
Information about Preschool
Information about Elementary (K-5 grades)
Information about Middle School (6–8 grades)
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Would you like to be contacted about touring the school?
Please contact me to schedule a school tour
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