Request Information

Please fill out this form to inform us of your interest in the school and to learn more about us. We will respond by contacting you and sending you a packet for you learn more about the school. If you have any questions, please don’t hesitate to contact us at 310-214-4999 or email


Child's First Name(s): *

Child’s Last Name: *

Applying Parent's Full Name(s): *

Applying Parent's Phone: *

Applying Parent's Email: *

2nd Parent's Full Name(s):

2nd Parent's Phone:

2nd Parent's Email:

Street Address: *

City, State: *

Zip Code: *

Child's date of birth: *

Gender: *  Male Female


How did you hear about us?


I would like more information about:  Transitional Kindergarten Kindergarten First Grade Second Grade Third Grade Fourth Grade Fifth Grade


Prefer to be contacted by:  Email Phone



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