Student Information    
First Name*    
Middle Name    
Last Name*    
Nick Name    
Gender
select
   
Birthdate*
RadDatePicker
Open the calendar popup.
   
Current Grade*
select
Current School*
select
The Children's School strives for diversity. Is there anything you would like to share about your child and/or family (such as ethnicity, cultural background, family constellation, learning differences, or physical needs)?
       
Household Information      
Parent/Guardian 1      
Relationship*
select
   
First Name*    
Middle Name    
Last Name*    
Nick Name    
Gender
select
   
E-Mail Address*    
Cell Phone    
Home Phone*    
Parent/Guardian 2      
Relationship
select
   
First Name    
Middle Name    
Last Name    
Nick Name    
Gender
select
   
E-Mail Address    
Cell Phone    
       
Address      
Street Address*    
Street2    
City*    
State*
select
   
Zip*    
How did you find out about Mills College Children's School?      
Source
select