Admissions Inquiry Form
Applicant Information
First Name
Last Name
Preferred Name
Current School
Birth Date (mm/dd/yyyy)
1
2
3
4
5
6
7
8
9
10
11
12
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
Sex
Male
Female
Applying for Grade
PRE
JK
SK
1
2
3
4
5
6
7
8
9
10
11
12
Applying for Year
2008/2009
2009/2010
2010/2011
2011/2012
2012/2013
2013/2014
Applicant Interests
Sports
Baseball
Basketball
Crew
Cross Country
Football
Golf
Hockey
Lacrosse
Soccer
Softball
Swimming/Diving
Tennis
Track
Wrestling
Sports
Baseball
Basketball
Crew
Cross Country
Football
Golf
Hockey
Lacrosse
Soccer
Softball
Swimming/Diving
Tennis
Track
Wrestling
Academics
Computer Science
English
Fine Arts
Foreign Language
Mathematics
PE/Health
Science
Social Studies
Speech
Academics
Computer Science
English
Fine Arts
Foreign Language
Mathematics
PE/Health
Science
Social Studies
Speech
Fine Arts
Dance
Music
Theatre and Speech
Visual Art
Fine Arts
Dance
Music
Theatre and Speech
Visual Art
Parent/Guardian Information
Relation
Father
Mother
Step Father
Step Mother
Male Guardian
Female Guardian
Title
Mr.
Mrs.
Miss
Ms.
Dr.
First Name
Last Name
Street Address
City
State
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
ME
MD
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
Zip (xxxxx)
Phone (xxx-xxx-xxxx)
Email Address
Additional Information
How did you first learn of Park Tudor School?
Relative/Friend/Colleague
Newspaper/Magazine/Radio
Website
Yellow Pages
Other