The Appletree School of Fairfax Application

"*" indicates required fields

Parent/Guardian 1 (Primary Contact)*

First Name Last Name

Email (Parent/Guardian 1)*

The Appletree School will use this email address to confirm receipt of your application. To prevent delivery errors, we strongly discourage applicants from using professional/enterprise accounts, which may automatically block incoming mail from unfamiliar servers.

Phone Number (Parent/Guardian 1)*

US/Canada

International

Phone (US/Can)

Phone Number (International)

Parent/Guardian 2

First Name Last Name

Email (Parent/Guardian 2)

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Student(s) Information

How many Students are you enrolling?*

Please enter a number from 1 to 6.

Student #1 - First Name*

Student #1 - Last Name

Student #1 - Birth Date*

Student #1 - Gender*

Student #1 - Start Date*

Student #2 - First Name

Student #2 - Last Name

Student #2 - Birth Date

Student #2 - Gender

Student #2 - Start Date

Student #3 - First Name

Student #3 - Last Name

Student #3 - Birth Date

Student #3 - Gender

Student #3 - Start Date

Student #4 - First Name

Student #4 - Last Name

Student #4 - Birth Date

Student #4 - Gender

Student #4 - Start Date

Student #5 - First Name

Student #5 - Last Name

Student #5 - Birth Date

Student #5 - Gender

Student #5 - Start Date

Student #6 - First Name

Student #6 - Last Name

Student #6 - Birth Date

Student #6 - Gender

Student #6 - Start Date

Product Name

How did you hear about The Appletree School of Fairfax?*

Payment Information

Application Total

Credit Card

Cardholder Name

Card Details

By submitting this application, I authorize The Appletree School to charge my credit card a non-refundable fee of $75.00 per student. After clicking "Submit Application", a loading icon may appear. This means we have received your application and payment. For confirmation, please check your email (including your promotions tab and spam folder). Please do not click "Submit" more than once, or you may be charged a duplicate fee.

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The Appletree School of Fairfax Application

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The Appletree School of Fairfax Application

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