Newbridge Academy - Try for A Day
Students Name*
Gender


Current School
Current Grade
Program of Interest (For students in grade 3-12, please choose a maximum of 2 programs):







Date of Birth*

Applicants Parent / Guardian*

First Name

Last Name
(Required)
Phone Number
Email*
(Required)
Allergies / Medications: *
Most recent report card upload:
Are there any Psychological Education evaluations, adaptations, Individual Program Plans (IPP’s), or other documents that we should be aware of? *


If yes, please explain:
How did you hear about Newbridge Academy?
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DISCLAIMER*

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Once we receive the request, our admissions department will contact you. Please note, a report card and, if applicable, any educational assessments must be submitted along with the form for review prior to us arranging a day.