*
Required
Admissions Inquiry
Student Name
*
required
Current Grade
*
required
Please Select…
4th
5th
6th
7th
8th
9th
10th
11th
12th
Gender*
Male
Female
Birthdate (MM/DD/YY)
*
required
Current School
*
required
Grade Applying For
*
required
Please Select…
6th
7th
8th
9th
10th
11th
12th
Parent/Guardian Name
*
required
Address
*
required
City
*
required
State
*
required
Zip Code
*
required
Preferred Phone
*
required
Preferred Parent Email
*
required
Relationship to Student
*
required
Please Select…
Mother
Father
Grandparent
Guardian
Self
Other
How Did You Hear About TKA?
Would You Us to Contact You to Set Up a Student Shadow?
Yes
No
Would You Like Us to Contact You to Set Up a Tour?
Yes
No
Seeking Other Information
Please indicate below any other questions or information you need at this time. Thank you!
Please send a confirmation email to the address below*:
Please provide an email address where we can send a link to your current form.
Email Address :