Information Form

At Chatham College School, Every Family Is Special.
Please Take A Moment To Tell Us About Yours.

ABOUT YOU (Parent or Guardian) * Indicates required fields.
1. My Name and Relationship to Child: *
First Name: *	Last Name: *	Relationship to Child: *
2. Desired Start-Date: *

3. I was attracted to Chatham College School because: (please check all that apply) *
Location	Academic Rigor	Strength of Faculty
Focus on healthy lifestyle development	International environment	Low Student-Teacher Ratio
Emphasis on local history	Other
4. How I May be Reached: *
Home:	Cell:	Office:
5. The Best Time to Reach me: (please check all that apply)
Morning (Home)	Morning (Cell)	Morning (Office)
Afternoon (Home)	Afternoon (Cell)	Afternoon (Office)
Evening (Home)	Evening (Cell)
6. Home Address:
Address Line 1:	Address Line 2:
City:	Postal Code:	Province/State:
7. Country: *

8. I am a citizen of: *

9. My child is a citizen of: *

ABOUT YOUR CHILD
10. Child's Name, Age and Gender:
First Name:	Last Name:	Gender:	Age:
11. Date of Birth:

12. Child's CURRENT Grade:

13. The grade the child will be ENTERING at Chatham College School:

14. Share any concerns you might have so we can assist you and your child: (Use the notes as well as checking any/all categories that may apply)
Cost of tuition	Relocation	Boarding needs	Scholarship
Diet	Other
15. Tell us about Any Concerns:

16. Name of current school where child attends:

17. Your Email Address: *

Please provide us with your email address before submitting the form

CHATHAM COLLEGE SCHOOL'S PROMISE OF CONFIDENTIALITY
All information regarding inquiring families and their children as well as those families and students currently associated with Chatham College School is CONFIDENTIAL. Our website server provides a confidential environment for this private information.