Your child's name *
Your child's name
Date of Birth
Date of Birth
Phone
Phone
Date you would like to begin your child's enrollment:
Date you would like to begin your child's enrollment:
Family Information
1st Parent/Guardian Name
1st Parent/Guardian Name
Home Phone
Home Phone
Cell Phone
Cell Phone
2nd Parent/Guardian Name
2nd Parent/Guardian Name
Home Phone
Home Phone
Cell Phone
Cell Phone
Student Information
Please check any special circumstances that may affect the child's performance in school.
References
Please give the names of three references (not family members), two of whom know the family well and one who is familiar with the previous education or development of the child.
Personal Reference #1
Personal Reference #1
Phone
Phone
Personal Reference #2
Personal Reference #2
Phone
Phone
Educational Reference
Educational Reference
Phone
Phone
Application Fee
Please send this form, with a $25 application fee to: School Around US C/O Mary Graham 281 Log Cabin Road Arundel, ME 04046 Upon receipt of application, we’ll call you to schedule a visit. Thank you for your interest in SAU!