Inquiry
indicates required fields
Applicant Information
Child's Name
First
Middle
Last
Jr
Sr
II
III
IV
Suffix
Preferred Name
Applying For Grade
PK3
PK4
K
1st
2nd
3rd
4th
5th
6th
7th
8th
For Academic Year
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
Current Grade
PK3
PK4
Pre-K
K
1st
2nd
3rd
4th
5th
6th
7th
8th
Parent / Guardian Information
Relationship to Student
Mother
Father
Stepmother
Stepfather
Grandmother
Grandfather
Guardian
Parent / Guardian Name
First
Middle
Last
Jr
Sr
II
III
IV
Suffix
Preferred Name
Email
Primary Phone Number
Cell
Home
Work
Type
Number
SMS Opt In
By selecting yes, you are agreeing to receive SMS text messages from Paragon. Notification frequency varies. Message & data rates may apply. To opt-out of all SMS notifications from this organization, select no or text STOP to 1855-699-0619.
Yes
No
How did you learn about Paragon?
Please select:
Referral from associate
Outdoor signage
Internet search
Printed ad
Other
Please specify: