New Student Application Form Applying for School Year: * Last Name * Middle Name * First Name * Nickname * Date of Birth * MM DD YYYY Age (years, months) to date * Gender * Nationality * Home Address and Phone Number(s) * Name of person completing this form * Your relationship to child * Mother Father Grandparent or Guardian Contact Information Name/Nickname Age Phone (###) ### #### Email Education Course/Degree Level Office Name and Address Office Phone (###) ### #### Occupation/Position Educational History Please list all schools or education programs your child has attended including playgroups, daycare, and others Year(s), Child's Age, Name of School, Type of Program or Grade How did you hear of The Laren School? Thank you!