Request Information

Thank you for your interest in Tilton School. When you complete and send this form, we will send you a packet of information about our school, including a view book. If you have other questions or comments, let us know in the appropriate box below or send them via email to: admissions@tiltonschool.org.

* Denotes required field

 
*Student First Name:
Student Nickname:
Student Middle Name:
*Student Last Name:
Student Suffix (Jr, III, etc):
*Student email:
*Student Sex:
*Boarder/Day:
*Student Date of Birth: Month / Day / Year
Student Ethnicity:
If 'Other', please specify:
 
*Reference Source:
If 'Other', please specify:
*Current Grade:
*Entry Grade:
*Desired Year of Entry:
Requesting Entry Date Other Than Fall
Sibling is Also Inquiring or Applying to School
 
*Home Address (Street):
*Home Address (City):
*Home Address (State):
*Home Address (ZIP/Postcode):
*Home Address (Country):
*Home Phone:
Home Fax:
 
First Parent's Relation to Student:
First Parent's Prefix (Mr, Ms, Mrs, etc):
First Parent's First Name:
First Parent's Middle Name:
First Parent's Last Name:
First Parent's Suffix (Jr, III, etc):
First Parent's Work Phone:
First Parent's Fax Number:
*First Parent's Email:
 
Second Parent's Relation to Student:
Second Parent's Prefix (Mr, Ms, Mrs, etc):
Second Parent's First Name:
Second Parent's Middle Name:
Second Parent's Last Name:
Second Parent's Suffix (Jr, III, etc):
Second Parent's Work Phone:
Second Parent's Fax Number:
Second Parent's Email:
 
Specific Areas of Interest:
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(Cmd-Click on the Mac).
Select as many as desired.
Special Program:
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Current School:
Additional Comments or Questions: