Admissions Inquiry


Thank you for your interest
in the country school

We would like to get to know you. Please complete the form below and choose the "submit" button. You will receive an information packet in the mail in a few short days.

General Information
Student(s) Information
Affiliations
Student 1
Required
Name *
Name
Date Of Birth *
Date Of Birth
Gender Identity *
Parent/Guardian Contact Information
Parent/Guardian 1
Required
Name *
Name
Address *
Address
Primary Phone *
Primary Phone
Secondary Phone
Secondary Phone