Spring Valley School

Welcome! We are glad that you would like to learn about Spring Valley School. Please complete the following inquiry form so that our admissions staff can learn how to best assist you. We look forward to meeting you and your student.

With my completion of this form, I wish to:

RSVP for Open House on October 1

Contact for this appointment

First Name

Last Name

Phone

Email

About the Student

Name

First

Middle

Last

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Preferred Name

Gender

Date of Birth

mm/dd/yyyy

Current Grade

Interested in Grade

For the Fall of

Student Eligibility

Spring Valley School admits students with average to superior intelligence who have been diagnosed with learning differences such as Dyslexia, Dysgraphia, Dyscalculia, and AD/HD (Attention-Deficit/Hyperactivity Disorder).

Does the student meet eligibility for Spring Valley School?

Thank you for your consideration of Spring Valley School. At this time your student does not meet eligibility for our specialized programing for students with specific learning disabilities, dyslexia, dysgraphia, dyscalculia, or AD/HD.

Has the applicant been diagnosed with a Specific Learning Disability and/or ADHD

Yes No

Other:

Student's Current School Information

School Status

Current School

School Name

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About the Parent/Guardian

Name

Title

First

Middle

Last

Suffix

Preferred Name

Relationship to Student

Primary Phone (xxx-xxx-xxxx)

Type

Number

Secondary Phone (xxx-xxx-xxxx)

Type

Number

Email

Mailing Address

Broadening Horizons

Thanks for reaching out! Out of curiosity...

How did you hear about Spring Valley School?

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