request information

Please complete the form below and click Submit. After we've received your information, we will send you an Admissions information packet by mail. If you're requesting information for more than one student, please submit the form again for each additional student.

	Parent/Guardian 1 (First Name, Last Name)*

	Parent/Guardian 2 (First Name, Last Name)

	Student (First Name, Last Name)*

	Address Line 1*

	Address Line 2

	City*

	State*

	Zip Code*

	E-mail Address*

	Home Phone Number*

	Alt. Phone Number (Optional) - Please indicate whether cell or business and to whom the number belongs.

	Male/Female*

	Current School

	For Entry Into Grade:*

	Entering Year (Fall of)*

	Day or Boarding (grades 9-12 only)

	Are you interested in our After-School Discovery Program (PK-5 only)?

What prompted you to ask for information today?

	Alumnus/a
	Billboard
	Current Parent
	Internet Search
	Post Card/Brochure
	Print Advertisement
	Radio
	School Fair
	Shady Side Academy Web Site
	Other Web Site
	Word of Mouth/Reputation

Please select interests from the categories below, or include additional interests under 'Other.'

Arts

	Band
	Choir
	Dance
	Drama
	String Orchestra
	Visual Arts

Athletics

	Baseball
	Basketball
	Crew
	Cross Country/Running
	Field Hockey
	Football
	Golf
	Ice Hockey
	Lacrosse
	Soccer
	Softball
	Squash
	Swimming
	Tennis
	Track and Field
	Ultimate Frisbee
	Wrestling

	Other Interests

	What else would you like us to know about your child?

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