Inquiry Form

Student Information

First Name

Last Name

Birthdate

Gender

Grade Level

School Year

Current School

Parent/Guardian Information

Parent/Guardian 1

First Name

Last Name

Gender

Email Address

Cell Phone

Parent/Guardian 2

First Name

Last Name

Gender

Email Address

Cell Phone

Family Address

City

Country

State

Zip

Parent/Guardian Questions

How did you find out about us?

Motivation for families

Are you willing to make changes to your family routines if they might affect your children’s healthy development? Example: Reducing exposure to audiovisual and electronic devices.

Note for next question: Dear family, Semillero is an inclusive space for all children who, along with their families, want to be part of this community. However, it is important for us that our educational guides can maintain a balance and equilibrium among all the little ones, so we can give our maximum effort and offer the best of our capacities and quality. Therefore, we ask that you respond honestly.

Does your son or daughter have any special needs?

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