Child's Name:

Date of Birth (mm/dd/yyyy): Gender : Boy Girl

Parent(s) Name(s):

Street Address:

City: State: Zip:

E-mail: Telephone:

Is your child in school now? Yes No

If so, which school?

How did you hear about Spruce Street School? (Pick all that apply)

From a current or alumni Spruce Street School family

From a non Spruce Street School person

From a Kindergarten Fair

From my child's preschool or school

From a print advertisement (Specify publication)

From the radio (Specify station)

Other (Specify)

What are the reasons for your interest in Spruce Street School? (Pick all that apply)

School size

Class size

Location

Multiage classes

Integrated curriculum

Social-emotional program

Diversity

Faculty

School community

Tuition

Other (Specify)