Peabody School

04/04/26

Inquiring Student Information

Name

First

Middle

Last

Suffix

Preferred Name

Birth Date

mm/dd/yyyy

Gender

Inquiring about Grade

For Academic Year

Current Grade

Current School

Siblings of Inquiring Student

Does the above named student have any siblings, Pre-K through 6th Grade?

Please select:

Yes No

Sibling 1

Name

First

Middle

Last

Suffix

Preferred Name

Birth Date

mm/dd/yyyy

Relationship to Inquiring Student

Inquiring about Grade

For Academic Year

Sibling 2

Is there a second sibling?

Yes No

Name

First

Middle

Last

Suffix

Preferred Name

Birth Date

mm/dd/yyyy

Relationship to Inquiring Student

Inquiring about Grade

For Academic Year

Sibling 3

Is there a third sibling?

Yes No

Name

First

Middle

Last

Suffix

Preferred Name

Birth Date

mm/dd/yyyy

Relationship to Inquiring Student

Inquiring about Grade

For Academic Year

Sibling 4

Is there a fourth sibling?

Yes No

Name

First

Middle

Last

Suffix

Preferred Name

Birth Date

mm/dd/yyyy

Relationship to Inquiring Student

Inquiring about Grade

For Academic Year

Sibling 5

Is there a fifth sibling?

Yes No

Name

First

Middle

Last

Suffix

Preferred Name

Birth Date

mm/dd/yyyy

Relationship to Inquiring Student

Inquiring about Grade

For Academic Year

Household Information

Please provide the following information for the household in which the student primarily resides:

Mailing Address

Home Phone

Parent/Guardian Information

Parent/Guardian 1 Name

Title

First

Last

Suffix

Preferred Name

Relationship to Inquiring Student

Cell Phone

Work Phone

Email

Is there a second parent/legal guardian in this household?

Please select:

Yes No

Parent/Guardian 2 Name

Title

First

Last

Suffix

Preferred Name

Relationship to Inquiring Student

Cell Phone

Work Phone

Email

Campus Tours

Peabody School invites parents of prospective students to tour our campus. Visitors have the opportunity to visit during the school day and observe students and teachers in their classrooms. Please select "yes" if you would like to schedule a tour and our Admission Office will reach out to schedule. Tours last approximately an hour . We look forward to meeting you!

Would you like to attend our Open House on October 8?

Yes No

Open House Tour Time

How did you learn about Peabody School? (check all that apply)

Please specify: