*Student First Name:
	*Student Middle Name:
	*Student Last Name:
	Student email:
	*Student Sex:	Please choose F M
	*Student Date of Birth:	Month / Day / Year
	*Reference Source:	Please choose Friend CWA Alum CWA Parent Newspaper Web Other
	If Reference Source is Other, Please Specify:
	*Current School:
	*Current Grade:	Please choose Pre-K K 1 2 3 4 5 6 7 8 9 10 11 12
	*Entry Grade:	Please choose Pre-K K 1 2 3 4 5 6 7 8 9 10 11 12
	*Desired Year of Entry :	September:
		Financial Aid Requested
		Sibling is Also Inquiring or Applying to School
	*Home Address:
	*City:
	*State:
	*ZIP/Postcode:
	Country:
	*Home Phone:
	*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 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 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.	Cross Country Football Soccer Water Polo Field Hockey Girl's Volleyball Alpine Skiing Snowboarding Basketball Ice Hockey Squash Swimming and Diving Wrestling Baseball Softball Golf Tennis Lacrosse Track and Field Dance Horseback Riding Martial Arts Rowing English History Mathematics Science Religion and Philosophy Foreign Languages Computers Writing Drawing Music Painting Photography Singing Theatre
	Additional Comments or Questions:
	Additional Sibling Information if Necessary:
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