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Request School Information


Thank you for your interest in Brookfield Academy!

Please fill out the form below and our a member of our admissions team 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 select a grade level and school campus. Please make sure you select the correct campus you would like more information on. 

Our toddler program is only offered at our Rochester Hills campus.

* Indicates a required field.

Parent / Guardian Information
  • First Parent / Guardian
  • First Name *
  • Middle Name
  • Last Name *
  • Salutation
  • Email Address *
  • Confirm Email Address *
  • Gender
  • Work Phone
  • Cell Phone
Home Address
  • Street Address *
  • City *
  • Country *
  • State
    *
  • Zip
    *
  • Home Phone *
  • 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
  •  
  • Parent / Guardian Notes
  •