—— Waterside School - Admission Online Inquiry ——
   
Student Information
Biographical —
First Name:  *
Last Name:  *
Preferred Name:  *
Gender:  *
Birth Date: Month:  Day:  Year:  (mm/dd/yyyy)  *
Language Spoken at Home:  *
Admissions Information —
Current Grade:  *
Applying for Grade:  *
Applying for Year:  *
Current School Name:  *
Ethnicity —
(check all that apply)
  • African American
  • Asian American
  • European American
  • Latino/Hispanic American
  • Middle Eastern American
  • Multiracial American
  • Native American
  • International
  • Pacific Islander American
  • Other
  • Other:
  Parent / Guardian Contact Information
Prefix: Other:
First Name:  *
Last Name:  *
Gender:  *
Relationship to Student: Other:  *
E-mail:  *
Cell Phone:
Work Phone:
Lives with Student? Yes No  *
Home Phone:
Address 1:  *
Address 2:
City:  *
Province/State/County:  *
Postal/Zip:  *
Country:  *
Additional Student Information
  Is there anything else you would like us to know about you before your visit?