Request Information

Thank you for your interest in The Highlands School! We are excited to share information about our community with you. By completing our online inquiry form, our Admissions Office will contact you shortly. Your inquiry will include you in upcoming communications about our school, the application process and events. It is our desire to answer your questions and be available throughout your discernment and application process.

* Indicates a required field.

Parent / Guardian Information
*First Parent / Guardian
Salutation *

First Name *

Middle Name

Last Name *
Email Address *

Gender *

Male Female
Work Phone

(Ex: 999-999-9999)

Cell Phone

(Ex: 999-999-9999)
Second Parent / Guardian
Salutation

First Name

Middle Name

Last Name
Email Address

Gender *

Male Female
Work Phone

(Ex: 999-999-9999)

Cell Phone

(Ex: 999-999-9999)
How Did You Hear About Us? *

Details:
Home Phone *

(Ex: 999-999-9999)
Street Address
City
Country
State
Zip
Student 1
First Name *

Middle Name

Last Name *
Birthdate *

(mm/dd/yyyy)

Email Address

Gender *

Male Female
Grade Level of Interest *

School Year *
Current School
Please share with us some of your child's interests such as hobbies, sports and clubs.
Is There Another Student? Yes No
Parent / Guardian Notes