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APPLY ONLINE


Please complete the fields below. If you have any questions or need help with this page, please email Janna Hawes, Director of Admissions at admissions@clairbourn.org or call 626-286-3108.
Clairbourn School admits students of any race, color, national and ethnic origin to all the rights, privileges, programs and activities generally accorded or made available to students of the school. It does not discriminate on the basis of race, color, national or ethnic origin in administration of its admission/educational policies, scholarship and loan programs, and athletic and other school-administered programs. 
*​Bold Fields Are Required
 
Student's Information
I Am Applying the Following Child for Admission to Clairbourn School:
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*First Name:
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Preferred Name:
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Middle Name:
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*Last Name:
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Gender
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*Age Next September 1st:
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*Grade Next September:
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*Birth Month
*Birth Day
*Birth Year
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*Street Address:
*City:
*State/Province:
*Zip/Postal Code:
*Country:
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*Home Phone: (If none, enter parent's cell#)
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Attach Recent Photo of Student Below
(JPEG format only please - example.jpg - 2000 KB Max Size)

File Upload:
If you don't have a recent photo to attach, you may mail one separately.
Check this box if you will be mailing a photo.
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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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*Parents are:
MarriedSeparatedDivorced
SingleOther
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*Main Email to Receive School Notices:
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*Title:
*First Name:
*Last Name:
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*Home Phone: (If none, enter cell#)
*Cell Phone Number:
*Parent #1 email:
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*Occupation:
Employer's Name:
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Primary Language Spoken by Parent
Secondary Language Spoken by Parent
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Religious Affiliation:
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Street Address:
Only fill out the following address fields if different from child's address above.
City:
State/Province:
Zip/Postal Code:
Country:

Parent #2 Information (If Applicable)
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Title:
First Name:
Last Name:
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Home Phone: (If none, enter cell#)
Cell Phone Number:
Parent #2 email:
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Occupation:
Employer's Name:
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Primary Language Spoken by Parent
Secondary Language Spoken by Parent
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Religious Affiliation:
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Street Address:
Only fill out the following address fields if different from child's address above.
City:
State/Province:
Zip/Postal Code:
Country:
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*How Did You Hear About Clairbourn?
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What led you to apply to Clairbourn School for your child's education?
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Please read and affirm the statement below
By checking this box, I affirm that I am the parent or legal guardian of the student named on this application.
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Application Fee Notice
There's a $75 non-refundable application fee. Payment must be made by Pay Pal in the next application step (Step#3) or by check. Your application will not be considered complete until the application fee is received. Upon submittal of this form, you will receive payment instructions.



Thank you for applying to Clairbourn School!
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