Student Information    
First Name*    
Middle Name    
Last Name*    
Nick Name    
Gender
select
   
Birthdate*
RadDatePicker
RadDatePicker
Open the calendar popup.
   
Current Grade*
select
Current School*
select
Grade Applying
select
   
School Year Applying
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MCCS values the diversity of our community. Please specify how you would like to be identified in terms of your family's ethnicity, racial make-up, and/or cultural background. Feel free to share any other aspect of your family constellation, as well.
       
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
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