Student Information
First Name
*
Required
Last Name
*
Required
Gender
select
Female
Male
Non-binary
Other
Required
Birthdate
*
RadDatePicker
RadDatePicker
Open the calendar popup.
Calendar
Title and navigation
Title and navigation
<<
<
January 2025
>
<<
January 2025
S
M
T
W
T
F
S
1
29
30
31
1
2
3
4
2
5
6
7
8
9
10
11
3
12
13
14
15
16
17
18
4
19
20
21
22
23
24
25
5
26
27
28
29
30
31
1
6
2
3
4
5
6
7
8
Required
Current Grade
select
Other
Toddler
Preschool
Transitional Kindergarten
K
1
2
3
4
5
Required
Grade Applying
select
Toddler
Preschool
Transitional Kindergarten
K
1
2
3
4
5
Required
School Year Applying
select
2024-2025
2025-2026
2026-2027
2027-2028
2028-2029
2029-2030
2030-2031
2031-2032
2032-2033
Required
Household Information
Parent/Guardian 1
First Name
*
Required
Last Name
*
Required
E-Mail Address
*
Required
Cell Phone
Required
Parent/Guardian 2
First Name
Last Name
E-Mail Address
Cell Phone
How did you find out about the Children's School?
Source
select
Other
Berkeley Parents Network
Instagram
Internet Search
Yelp
School Website
Friend of School
Parent Referral
Student Referral
Required
{1}
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{1}
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##LOC[OK]##
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