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Request School Information

Thank you for your interest in Brookfield Academy!

Please fill out the form below and our Admissions Office will contact you and provide you with information about our school and programs. 

 

► Please note:  When filling out the inquiry form, under "Grade Level of Interest" you will be asked to choose a grade level and school campus. Please make sure you choose the correct campus you would like more information on. 

* Indicates a required field.

Parent / Guardian Information
  • First Parent / Guardian
  • Last Name *
  • First Name *
  • Salutation *
  • 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:
  • Were you referred by a current Brookfield Academy family? If so, please give family name or student's name.

  •  
  • Student 1
  • First Name *
    Middle Name
    Last Name *
  • Birthdate
    (mm/dd/yyyy)
    Gender
  • Grade Level of Interest *
    School Year *
  • Current School
  • When you selected the  "Grade Level of Interest", did you choose the campus your child would like to attend? If not, please go back and select the correct campus and grade level for your child.

    Yes   No
  •  
  • Is There Another Student?
    Yes No
  •