Inquiry Form

Thank you for your interest in Lehrman Community Day School!

Please note that for the 2021-2022 school year we have received a record number of new applications and we have completed the first admission review. Applications submitted at this point will be reviewed and considered on a rolling basis, based on availability.

Please complete the information in this form and someone from the admissions office will be in touch with you.

* Indicates a required field.

Parent / Guardian Information
First Parent / Guardian Last Name * First Name * Middle Name Salutation Email Address * Gender Work Phone (Ex: 999-999-9999) Cell Phone (Ex: 999-999-9999)	Second Parent / Guardian (leave blank if not applicable) Last Name * First Name * Middle Name Salutation Email Address * Gender Work Phone (Ex: 999-999-9999) Cell Phone (Ex: 999-999-9999)

Home Address
Street Address * City * Country * State * Zip * Home Phone * (Ex: 999-999-9999) How Did You Hear About Us? * Details: Student's current grade level * Student 1 First Name * Middle Name Last Name * Birthdate * (mm/dd/yyyy) Gender * Grade Level of Interest * School Year * Current School Is There Another Student? Yes No Parent / Guardian Notes