ADMISSION APPLICATION
Personal Information
Applicant Name
First Name
Last Name
Nickname
Current Grade Level
Grade Applying to
Year Applying
Birth Date
Please select a month
January
February
March
April
May
June
July
August
September
October
November
December
Month
Please select a day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Day
Please select a year
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Year
Place of Birth
Gender:
Female
Male
Other
US Citizen:
Yes
No
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
E-mail
example@example.com
APPLICANT'S SCHOOL INFORMATION
List your previous schools, beginning with the most recent
1st School Information
School name, City & State
*
Years at the School:
*
2nd School Information
School name, City & State
Years at the School:
FAMILY INFORMATION
PARENT/GUARDIAN #1
*
First Name
Last Name
TPS Alumni:
Yes
No
Address (If same as above, please skip)
Street Address
Street Address Line 2
City
State / Province
Phone Number
*
E-mail
*
example@example.com
Business Name & Position/Title
Business Address:
Business Phone:
TPS Alumni:
Yes
No
PARENT/GUARDIAN #2
*
First Name
Last Name
Has Custody of Child:
Yes
No
Address (If same as above, please skip)
Street Address
Street Address Line 2
City
State / Province
Phone Number
*
E-mail
*
example@example.com
Business Name & Position/Title
Business Address:
Business Phone:
TPS Alumni:
Yes
No
Parent/Guardians are: (please mark all that apply)
Married
Single
Seperated
Divorced
Domestic Partnership
Mother Deceased
Father Deceased
Mother Remarried
Father Remarried
If parents re remarried, please supply the name of spouse(s):
To whom should Admission correspondence be sent?
SIBLINGS OF APPLICANT
SIBLING #1
Date of Birth:
-
Month
-
Day
Year
Date
SIBLING #2
Date of Birth:
-
Month
-
Day
Year
Date
SIBLING #3
Date of Birth:
-
Month
-
Day
Year
Date
Please list any relatives who have attended The Pathfinder School (Name, Relationiship to Applicant, Class):
PRE-KINDERGARTEN & KINDERGARTEN APPLICANTS
PRE- KINDERGARTEN - Please select your schedule of choice for your student:
2 Full Days (T/TH)
3 Full Days (M/W/F)
5 Full Days
KINDERGARTEN - Please select your schedule of choice for your student:
5 Full Days
5 Mornings & 3 Afternoons (M/W/F)
PLEASE CHECK ALL THAT APPLY
I am interested in enrolling my child in the Pre-Kindergarten program ONLY.
I am interested in enrolling my child in the Kindergarten program ONLY.
I am interested in enrolling my child in the full Pathfinder program (for grades between Pre-K through 8th grade).
IN YOUR OWN WORDS...
Please tell us more about your child. What are their interests? Favorite activities? Special abilities? We want to know more about all the wonderful things that make your child unique.
*
Why do you feel that The Pathfinder School would be a good fit for your child?
*
What are some challenges that you have seen your child face? What tools have they used (and you as parents) to help them move through these moments?
*
Please share any conditions or special circumstances which may impact your child's full participation in the school's academic, athletic, outdoor or arts program (learning disabilities, behavioral challenges, physical limitations, etc):
*
Has your child been dismissed, suspended or denied admission to any school for any reason? If yes, please explain why:
*
Has your child skipped any grades? If yes, please explain why:
*
PRE-K & KINDERGARTEN ONLY: Please tell us about any prior experiences with day care, pre-school or play groups. How has your child liked or disliked those experiences?
*
SCHOOL VISIT PAPERWORK & EMERGENCY CONTACT INFORMATION
To ensure that your child's visit on our campus is successful and safe, we ask that you fill out the following information. Also, please provide documentation to help us prepare for your child's visit.
Copies of Recent Student Report Cards or Teacher Reviews (if child has previously been in school)
Copies of any IEP or 504 plans
Copies of any relevant behavioral testing results or diagnoses from doctors that will help teachers assist your child in the classroom
Any samples of student work (if applying to grades K-8)
Please list any Allergies or Special Medical Conditions which may require emergency treatment or adaptations to our routine:
*
Parent Name & Phone Number to use in case of Emergency:
*
Temporary Care Provider Name & Phone Number (if we are unable to reach you in case of emergency):
*
Name & Contact Information for Person(s) other than parent/guardian to whom child may be released:
*
Family Physician & Contact Phone:
*
Hospital Preference:
RELEASE
In case of serious accident or illness, if the school is unable to contact me, I hereby authorize school authorities to use their best judgement on behalf of my child. Should hospital treatment be deemed necessary, I also authorize the physician and/or the hospital listed above to treat my child. Any obligations for such treatment will be handled by me.
Signature
*
Date
*
-
Month
-
Day
Year
Date
NON-DISCRIMINATION POLICY | We find unity in diversity
The Pathfinder School admits students of any race, color, orientation, national or ethnic origin to all the rights and privileges, programs and activities generally accorded or made available to students at the school. It does not discriminate on the basis of race, color, orientation, national or ethnic origin in administration of its educational or admissions policies, scholarship or loan programs including athletic or other school administered programs.
Apply Now!
Should be Empty: