Pacific Crest School - Application for Enrollment

Please complete the form below. After submission you will be able to click on a link for payment.

 

Parent 1 Information
Parent 1 Name *
Parent 1 Name
Parent 1 Home Address *
Parent 1 Home Address
Parent 1 Home Phone
Parent 1 Home Phone
If you have no fixed home phone, simply list your mobile phone below
Parent 1 Mobile Phone
Parent 1 Mobile Phone
Parent 1 Work Phone
Parent 1 Work Phone
Parent 2 Information
Skip section if no second parent. Items that are identical to Parent 1 may be skipped (e.g. address, home phone).
Parent 2 Name
Parent 2 Name
Parent 2 Home Address
Parent 2 Home Address
If different from Parent 1
Parent 2 Home Phone
Parent 2 Home Phone
if different from Parent 1 only
Parent 2 Mobile Phone
Parent 2 Mobile Phone
Parent 2 Work Phone
Parent 2 Work Phone
Child Information
One application per child
Child's Birthday *
Child's Birthday