Stoneleigh-Burnham School

We look forward to getting to know you as you explore all that Stoneleigh-Burnham School has to offer. Please take a moment to complete this form and a member of our team will be in touch with you soon.

About the Student

Name

First

Middle

Last

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Preferred Name

Gender

Date of Birth

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Current Grade

Interested in Grade

For academic year

Boarding or Day Student

Current School

Does this student receive any classroom or testing accommodations?

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Is this student an international student?

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Does this student have any family members who attend/have attended Stoneleigh-Burnham School?

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Student's Email

Is the student's family working with a consultant?

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Agency Name

Consultant's Email

Consultant's Phone

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Number

About the Parent/Guardian

Name

Title

First

Middle

Last

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Preferred Name

Relationship to Student

Primary Phone (xxx-xxx-xxxx)

Type

Number

Secondary Phone (xxx-xxx-xxxx)

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Number

Email

Mailing Address

Is there a second parent or legal guardian in this household?

Yes No

Name

Title

First

Middle

Last

Suffix

Preferred Name

Relationship to Student

Primary Phone

Type

Number

Secondary Phone

Type

Number

Primary Email

What do you want to learn more about?

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How did you hear about Stoneleigh-Burnham School?

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That's great! Please let us know who recommended you to Stoneleigh-Burnham School. We'd love to thank them!

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