enrollment application

After you have learned about Prairie School of DuPage, toured the school at least one time, and have decided that Prairie School is good fit for your family, please take the following steps to ensure your child has a spot for the upcoming school year.

APPLICATION PROCESS

To be considered for enrollment you must complete an Application for Enrollment and submit a $150 new student fee.

APPLY ONLINE

Please read the following instructions thoroughly and complete the necessary forms below.

1. Fill out the Application for Enrollment form below.

2. A $150 non-refundable new student fee is due when you submit the application.

3. Once your application and fee have been received, a school official will call you to begin the Enrollment process.

**Please Note: A student is not considered enrolled in the school until the Enrollment Agreement has been signed, AND Tuition has been paid in full, or an enrollment deposit has been received.

APPLICATION FOR ENROLLMENT FORM

Children Enrolling

Child 1 *

Child 1

First Name

Last Name

Child 1 Date of Birth *

Child 1 Date of Birth

YYYY

Child 1 Gender

Child 1 Program *

Please enter your preferred program for this child.

Child 2

First Name

Last Name

Child 2 Date of Birth

YYYY

Child 2 Gender

Child 2 Program

Please enter your preferred program for this child.

Child 3

First Name

Last Name

Child 3 Date of Birth

YYYY

Child 3 Gender

Child 3 Program

Please enter your preferred program for this child.

School District

Please enter the name of the school district in which you live.

Mother or Guardian *

Mother or Guardian

First Name

Last Name

Mother's Home Address *

Mother's Home Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Mother's Home Phone

(###)

###

####

Mother's Cell Phone *

Mother's Cell Phone

(###)

###

####

Mother's Email Address *

Mother's Occupation

Mother's Employer

Work Phone

(###)

###

####

Father or Guardian

First Name

Last Name

Father's Home Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Father's Home Phone

(###)

###

####

Father's Cell Phone

(###)

###

####

Father's Email

Father's Occupation

Father's Employer

Work Phone

(###)

###

####

How did you hear about us?

Sibling Information

Names and Ages *

Please add the names and ages of any siblings of the enrolling child(ren).

Additional Form Needs Child 1

Please check all of the boxes that apply

My child has anaphylactic allergies.

My child has an epi pen that has been prescribed by an MD.

My child requires prescription medication administered regularly during school hours.

My child had an IEP or 504 plan at another school.

My child may need an IEP, 504 plan, or some additional support in the classroom.

Additional Form Needs Child 2

Please check all of the boxes that apply

My child has anaphylactic allergies.

My child has an epi pen that has been prescribed by an MD.

My child requires prescription medication administered regularly during at school hours.

My child had an IEP or 504 plan at another school.

My child may need an IEP, 504 plan or some additional support in the classroom.

Additional Form Needs Child 3

Please check all of the boxes that apply

My child has anaphylactic allergies.

My child has an epi pen that has been prescribed by an MD.

My child requires prescription medication administered regularly during at school hours.

My child had an IEP or 504 plan at another school.

My child may need an IEP, 504 plan or some additional support in the classroom.

After-care Options:

Please fill in the name of each child enrolling in an aftercare program.

Forest School Aftercare (11:30-3:15)

Select which aftercare program you would like.

Child 1

First Name

Last Name

Child 2

First Name

Last Name

Child 3

First Name

Last Name

Primary Aftercare (12:15-3:15)

Select which aftercare program you would like.

Child 1

First Name

Last Name

Child 2

First Name

Last Name

Child 3

First Name

Last Name

Other

If you need a different configuration for aftercare than listed please specify here:

Step 2: Pay New Student Fee

Quick View

New Student Fee

150.00

Quantity:

Pay Fee

Add Me to the Waitlist

Back to Steps to Enrollment

Prairie School of DuPage does not discriminate on the basis of race, color, religion, sex, age, marital status, national origin, disability, status based on the Victims’ Economic Security and Safety Act (VESSA) or status as a disabled or Vietnam-era veteran, or any other factor unrelated to professional qualifications, in employment or in admission or access to, or operation of its educational programs and activities.