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Prospective Learner Info

Prospective Learner Info

Please complete this if you'd like to be added to our e-mail list of prospective learners.
  • What is the name of the child applying?
  • Please include the learner's date of birth
  • If the child is currently enrolled in (or has ever been enrolled in) a public school in the city of Philadelphia, please include their ID number.
    Please enter a number from 0000001 to 99999999.
  • What grade are you applying to? * Required
  • What is the name of the parent/guardian requesting information?
  • What is the full e-mail address of the parent/guardian requesting information?
  • If there is a second parent/guardian we should contact, please add their name here.
  • If there is a second parent/guardian we should contact, please add their e-mail here.
  • Is there any additional information that we should have?
  • This field is for validation purposes and should be left unchanged.

Last modified: September 28, 2018