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Request Information

Thank you for your interest in our school!

Use this form to schedule a tour of Horizon Academy. After this form is completed, a member of the admissions team will follow-up with you to schedule a date and time that will work best for you.

Please note, we recommend every prospective parent begins with a parent tour to get a feel for the school before a child visits the school.

Sincerely,

Laura Mombello
Admissions/Enrollment Manager
lmombello@horizon-academy.com

* Indicates a required field.

Parent / Guardian Information
  • First Parent / Guardian
  • Last Name *
  • First Name *
  • Middle Name
  • Salutation *
  • Email Address *
  • Gender
    Male    Female
  • Second Parent / Guardian
    (leave blank if not applicable)
  • Last Name *
  • First Name *
  • Middle Name
  • Salutation *
  • Email Address *
  • Gender
    Male    Female
Home Address
  • Street Address *
  • City *
  • Country *
  • State *
  • Zip *

  • What program are you interested in at Horizon Academy?
    *

  • Would you prefer to be contacted by email or phone?
    *

  • What is the best number to reach you?
    *

  • How did you hear about Horizon Academy?
    *

  • Referred by whom? Specifically.
    *
  •  
  • Student 1
  • First Name *
    Middle Name
    Last Name *
  • Birthdate *
    (mm/dd/yyyy)
    Email Address
    Gender *
    Male    Female
  • Grade Level of Interest *
    School Year *
  • Current School

  • What is your student's current grade level?
    *

  • Applicant has been diagnosed with the following learning differences: (Check all that apply)
    *

  • If "Other" checked above, please specify your child's diagnosis

  • What are your child's learning challenges?
    *
  •  
  • Is There Another Student?
    Yes No
  •  
  • Parent / Guardian Notes
  •  
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