Today's Date (mm/dd/yyyy)

Applying for school year:required

Entering Grade?required

Desired Program Time

AM: 8:15-11 a.m. PM: 12:15-3 p.m. Either

Student Applicant Information

First Namerequired

Middle Name

Last Name

Nickname

Date of Birth (mm/dd/yyyy)

Gender

Male Female

Family's Preferred Phone

Please use numbers only; no special characters.

Student's Address 1

Address 2

City

State

Zip

Country

Family Information

Your Information

Prefix

First Namerequired

Last Name

Suffix

Primary Phone

Please use numbers only; no special characters.

Please use lowercase only.

Relationship to Student

Address 1

Address 2

City

State

Zip

Country

Job Title

Employer

Parent/Guardian 2

Prefix

First Name

Last Name

Suffix

Primary Phone

Please use numbers only; no special characters.

Please use lowercase only.

Relationship to Student

Address 1

Address 2

City

State

Zip

Country

Job Title

Employer

Sibling Information

Please list the name(s) and age(s) of this student's sibling(s).

With whom does the student applicant live?

Parents' Marital Status

Check all that apply

If parents are separated/divorced, which parent will assume financial responsibility for the applicant?

Do you plan to apply for financial aid?

Yes No

Ethnicity (Optional)

We collect this information for statistical and reporting purposes. It is entirely optional.

School Information

Applicant's Current School

School Address

City

State

Zip

Country

Phone

Please use numbers only; no special characters.

Additional Information

Has anyone applied to Canterbury School on this student's behalf before?

Yes No

When was the application submitted?

Did someone recommend Canterbury School to you?

Yes No

Who recommended Canterbury School to you?

Do you have any relatives who have attended Canterbury School?

Yes No

Please list any relatives who have attended Canterbury School.

Name of Relative 1

Relationship to Applicant

Date of Attendance

Name of Relative 2

Relationship to Applicant

Date of Attendance

Name of Relative 3

Relationship to Applicant

Date of Attendance

Application Fee and Payment

This application is a statement of parental intent, not a contract. A formal contract must be signed after the applicant is accepted for admission.

Tuition for the academic year is established by Feb. 1.
The contract is due 14 days after the date of issue and a FACTS account is required to make payment.
A $475 non-refundable deposit will be automatically deducted after the contract is submitted from your FACTS account. This deposit is part of the total tuition due.
This is a continuous enrollment contract therefore it will be the only time you complete a paper contract. Each subsequent year, there is an anniversary date of March 1, which is also considered an opt-out date should a family wish to withdraw their student(s). Otherwise you will be automatically enrolled for the following school year and the deposit will be deducted on March 12 of each year.

Check the following:*

Application Fee for Early Childhood $35.

Please send a confirmation email to the address below*:

Please provide an email address where we can send a link to your current form.

Email Address :