Skip Navigation

Request Information

Thank you for your interest in Gillispie School!

Please fill out the form below and our Admissions Office will contact you.

* Indicates a required field.

Parent / Guardian Information
  • First Parent / Guardian
  • Last Name *
  • First Name *
  • Middle Name
  • Email Address *
  • Work Phone
    (Ex: 999-999-9999)
  • Cell Phone *
    (Ex: 999-999-9999)
  • Second Parent / Guardian
    (leave blank if not applicable)
  • Last Name *
  • First Name *
  • Middle Name
  • Email Address *
  • Work Phone
    (Ex: 999-999-9999)
  • Cell Phone *
    (Ex: 999-999-9999)
Home Address
  • Street Address
  • City
  • Country
  • State
  • Zip
  • Home Phone
    (Ex: 999-999-9999)
  • How Did You Hear About Us?
    Details:
  • I would like to:

    *
  • As a parent, what is most important to you in a school?

    *
  • Would you like to recieve information about our Parent-Toddler Exploration Program (PTEP)?

    Yes   No
  •  
  • Student 1
  • First Name *
    Middle Name
    Last Name *
  • Birthdate *
    (mm/dd/yyyy)
    Email Address
  • Grade Level of Interest *
    School Year *
  • Student Interests
  • Current School
  • Gender

    *
  • Which of the following activities/programs does your child most like to explore?

    *
  •  
  • Is There Another Student?
    Yes No
  •  
  • Parent / Guardian Notes
  •