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Admissions Inquiry Form
How can we help you? (Check all that apply)

Great, we would love to give you a tour of City Academy! Please fill out your information below and a member of our Admissions Office will be in touch to schedule a time.

Student Information:
Child Name
Child Name
First
Last
Gender
Do you have any other children that you would like to attend City Academy?
How many?

Second Child Information:

Second Child Name
Second Child Name
First
Last
Gender

Third Child Information:

Third Child Name
Third Child Name
First
Last
Gender

Fourth Child Information:

Fourth Child Name
Fourth Child Name
First
Last
Gender

Parent/Guardian Information:

Parent/Guardian Name
Parent/Guardian Name
First
Last
Address
Address
Address Line 1
Address Line 2
City
State/Province
Zip/Postal
Phone Type