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Request Information

Thank you for your interest in Sierra Canyon School. Please complete the information below. A member of the Admissions staff will be in touch soon.
Student_1 First Name*
     
Student_2 Last Name*
     
Date of Birth (mm/dd/yyyy)*
     
Gender*
   
Grade Applying For*
   
Current School*
     
Student_2 First Name
     
Student_2 Last Name
     
Date of Birth (mm/dd/yyyy)
     
Gender
   
Grade Applying For
   
Current School
     
Student_3 First Name
     
Student_3 Last Name
     
Date of Birth (mm/dd/yyyy)
     
Gender
   
Grade Applying For
   
Current School
     
Parent/Guardian 1*
     
Parent/Guardian 2
     
Phone (Home)*
     
Phone (Cell)*
     
Phone (Business)
     
Address Line 1*
     
Address Line 2
     
City*
     
State*
   
Zip Code*
     
Email Address*
     
How did you hear about Sierra Canyon?
   
Word of Mouth
Educational Consultant
Placement Officer
School Fair
Advertisement
Internet
Other:
Additional Comments
       

Please Note: Questions marked with an asterisk (*) are required.


© 2008 Sierra Canyon School   |   Upper School Campus  20801 Rinaldi Street  |  Lower School Campus  11052 Independence Avenue  |  Chatsworth, CA 91311  |  (818) 882 8121
 
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