Open House Registration

We invite you to visit our campus for an open house. Please register for an open house below.
We look forward to meeting you!

Please remember that this is an adult-only event.

Remember, applicants must meet the following criteria to be considered for admission:

1. All students must live with a single adult (mother, grandmother, uncle, aunt, etc) demonstrating economic need;

2. All students must be 3 years old by September 2016;

3. All students must live within a 15 mile radius from the school.

1. Parent/Guardian's First Name *This question is required.

2. Parent/Guardian's Last Name *This question is required.

3. Parent/Guardian's Email Address *This question is required. This question requires a valid email address.

4. Parent/Guardian's Phone Number *This question is required. This question requires a valid number format.

5. What is your legal marital status? *This question is required.

6. How did you find out about CSA? *This question is required.

What is the organization?

About the Applicant

8. First Name *This question is required.

9. Last Name *This question is required.

10. Date of Birth *This question is required. This question requires a valid date format of MM/DD/YYYY.

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