Contact - Inquiry Student's Name (1)* First Last Age*Birthday* GenderFemaleMaleRace (optional)American Indian or Alaska NativeAsianBlack or African AmericanHispanic or LatinoNative Hawaiian or Pacific IslanderWhiteMulti-RacialInterested in Grade:Please pick a grade from the dropdown listPre-KindergartenKindergarten1st Grade2nd Grade3rd Grade4th Grade5th Grade6th Grade7th Grade8th GradeFor What School Year?Select Year2018/20192019/2020Current SchoolCurrent GradeAre you interested in inquiring for a second child?noyesStudent's Name (2) First Last AgeBirthday GenderFemaleMaleRace (optional)American Indian or Alaska NativeAsianBlack or African AmericanHispanic or LatinoNative Hawaiian or Pacific IslanderWhiteMulti-RacialInterested in Grade:Please pick a grade from the dropdown listKindergarten1st Grade2nd Grade3rd Grade4th Grade5th Grade6th Grade7th Grade8th GradePre-KindergartenFor What School Year?Select Year2018/20192019/2020Current SchoolCurrent GradeAre you interested in inquiring for a third child?noyesStudent's Name (3) First Last AgeBirthday GenderFemaleMaleRace (optional)American Indian or Alaska NativeAsianBlack or African AmericanHispanic or LatinoNative Hawaiian or Pacific IslanderWhiteMulti-RacialFor What School Year?Select Year2018/20192019/2020Current SchoolCurrent GradeHome School DistrictSelect OneEllenvilleHighlandKingstonNew PaltzOnteoraPine BushRed HookRondoutSaugertiesWallkillOtherParents / Guardian Info1) Parent’s/Guardian’s Name* First Last Parent/Guardian 1 Email* Home PhoneCell PhoneWork PhoneAddress Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code 2) Parent’s/Guardian’s Name First Last Parent/Guardian 2 Email Home PhoneCell PhoneWork PhoneAddress Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarrussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country Family Status (please check all that apply)Family Status (Parents/Guardians are:)SingleMarriedDomestic PartnersSeparatedRe-marriedHow did you hear about us?How did you hear about High Meadow School?Print AdReferralInternetWhere was the ad printed?Who referred you?Which website?Anything else you'd like to tell us?Initial HMS Contact First Last Parent/Guardian Status Inquiry Submitted Responded to Inquiry Added to Prospective Family Email List Parent Tour Scheduled Parent Tour Completed Skills Survey Completed Recieved Copy of Driver's License Student 1 Status Student Portfolio Received Student Tour Scheduled Student Tour Completed IEP Received (If Applicable) Family Did Not Proceed with Application Process Application Submitted Application Fee Paid Teacher Rec Submitted Student Rejected Student Accepted Contract Sent Contract Returned Deposit Received Student 2 Status Student Portfolio Received Student Tour Scheduled Student Tour Completed IEP Received (If Applicable) Family Did Not Proceed with Application Process Application Submitted Application Fee Paid Teacher Rec Submitted Student Rejected Student Accepted Contract Sent Contract Returned Deposit Received Student 3 Status Student Portfolio Received Student Tour Scheduled Student Tour Completed IEP Received (If Applicable) Family Did Not Proceed with Application Process Application Submitted Application Fee Paid Teacher Rec Submitted Student Rejected Student Accepted Contract Sent Contract Returned Deposit Received Student 1 Admissions Status Added to New Families Mailchimp List Added to HMS Portal Welcome Committee Notified Added to Attendance Form Teachers/Staff Notified about New Student IEP (if applicable) sent to Jackie Staff Notified about Important Student Background Share District Info to Office Received Family Registration Form Received Physician Health Form Received OTC Form Immunization Records Up-to-date Immunization Religious Exemption Received Media Release Student 2 Admissions Status Added to New Families Mailchimp List Added to HMS Portal Welcome Committee Notified Added to Attendance Form Teachers/Staff Notified about New Student IEP (if applicable) sent to Jackie Staff Notified about Important Student Background Share District Info to Office Received Family Registration Form Received Physician Health Form Received OTC Form Immunization Records Up-to-date Immunization Religious Exemption Received Media Release Student 3 Admissions Status Added to New Families Mailchimp List Added to HMS Portal Welcome Committee Notified Added to Attendance Form Teachers/Staff Notified about New Student IEP (if applicable) sent to Jackie Staff Notified about Important Student Background Share District Info to Office Received Family Registration Form Received Physician Health Form Received OTC Form Immunization Records Up-to-date Immunization Religious Exemption Received Media Release Account SourceCreate Parent/Gaurdian(s) Portal IDNoYesCAPTCHA
