2012 Orsch Enrollment Application

Parent Info:

Family Name (required)

Your Email (required)

Date of application:

Mailing Address:

Parent(s)/Guardian(s):

Phone Number(s): (Parent name) (Home or Work) (Cell) List all please

List another email:

Student Information

Student's Name (First) (Middle) (Last) (Nickname or preferred name)

Student's Birth Date:

Gender:  Male Female

Student E-mail:

Siblings/ages of siblings:

Grade as of May 2012:

List all extracurricular activities (include music lessons/sports/involvement in the arts, etc)

Why do you want your child to attend Orsch?

Are there any elements of your child’s current educational experience that he/ she does not enjoy?

Tell us about your child’s strengths and talents:

Tell us about your child’s passions and interests:

Please share any other important or relevant information:

Please Insert Security Code into field: