ADMISSION INQUIRY FORM
Child's Information
Child's Name
*
First Name
Last Name
Birthdate
*
-
Month
-
Day
Year
Date
Grade Desired
*
Please Select
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
School Year Interested In
*
Please Select
2020-2021
2021-2022
2022-2023
2023-2024
Current School
*
Parent / Guardian Information
Mother's Name
*
First Name
Last Name
Father's Name
*
First Name
Last Name
Email Address
*
example@example.com
Preferred Phone
*
Mailing Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Other Information
How did you hear about Legacy?
*
Website
Ad
Word of Mouth
What are the next steps?:
Legacy will contact you to schedule a tour (Tours held on Monday mornings)
Complete & Return Application
Pay $125 Application Fee
Schedule an Assessment and Family Interview with the front office staff
Authorization Signature
Authorization
*
By signing below, I certify that I am the Parent or Legal Guardian of the student named above and that all the information provided is true and correct to the best of my knowledge.
Parent / Guardian Signature
*
Clear
Submit
Should be Empty: