* Denotes required field
*Student's First Name:
Student's Nickname:
*Student's Last Name:
*Student's Email:
*Student's Sex:	Please choose F M
*Student's Date of Birth:	/ /
Student's Ethnicity: Ctrl-Click for multiple selections (Cmd-Click on the Mac). Select as many as desired.	Caucasian African American Asian American Hispanic American Multiracial Middle Eastern Native American Pacific Islander Other
*Reference Source:	Please choose Friend Family Web Magazine Web-School School Fair Open House Crossroads In Person ABC School Counselor Professional Counselor Other
*Current School:
*Current Grade:	Please choose 7 8 9 10 11 12
*Entry Grade:	Please choose 9 10 11 12
*Desired Year of Entry:
	Financial Aid Requested
	Has or Had a Sibling in the School
*Home Address (Street):
*Home Address (City):
*Home Address (State):
*Home Address (ZIP/Postcode):
*Home Phone:
County:	Please Choose Marin Alameda Contra Costa San Francisco Sonoma Solano
*First Parent's Relation to Student:	Please choose Father Mother Guardian Other
*First Parent's Prefix (Mr, Ms, Mrs, etc):
*First Parent's First Name:
*First Parent's Last Name:
First Parent's Suffix (Jr, III, etc):
First Parent's Work Phone:
*First Parent's Email:
*Second Parent's Relation to Student:	Please choose Father Mother Guardian Other
*Second Parent's Prefix (Mr, Ms, Mrs, etc):
*Second Parent's First Name:
*Second Parent's Last Name:
Second Parent's Suffix (Jr, III, etc):
Second Parent's Work Phone:
Second Parent's Email:
Specific Areas of Interest: Ctrl-Click for multiple selections (Cmd-Click on the Mac). Select as many as desired.	Baseball Basketball Cross Country Fencing Golf Lacrosse Mountain Biking Sailing Soccer Swimming Tennis Track and Field Volleyball Water Polo Dance Drama Music Singing Visual Art
Additional Comments or Questions: