Parent Email *

First Name

Last Name

Please select the class that your child would be in for the 2023-2024 school year according to their birthday. *

3's Class: Age 3 as of September 1, 2023

Pre K Class: Age 4 as of September 1, 2023

Kindergarten: Age 5 as of September 1, 2023

1st Grade: Age 6 as of September 1, 2023

2nd Grade: Age 7 as of September 1, 2023

3rd Grade: Age 8 as of September 1, 2023

4th Grade: Age 9 as of September 1, 2023

5th Grade: Age 10 as of September 1, 2023

I understand that this form does not enroll my child into UPPERROOM Academy, but will put them in line on the waitlist. I understand that my spot will be solidified when a space opens up and I have paid my enrollment fee. *

Yes

No