Request for Information

Thank you for your interest in Peddie. Please complete the inquiry form below so we can learn more about you and provide you with additional information about our programs and admissions process.

Prospective Student Information

First Name

Last Name

Birthdate

Gender

Please Specify

Student Contact Information

It is important that the student has an individual email, an address that is NOT the same as the parent/guardian. All communication will be sent to both student and parent(s).

Email Address

Mobile Phone

Would you like to receive text messages from Peddie?

Yes

No

Home Address

Mailing Address

Country

Street

City

Region

Postal Code

Is your permanent home address different than your mailing address?

Yes

Permanent Address

Country

Street

City

Region

Postal Code

Enrollment Plans

Current School Name

Current Grade

Applying for Grade

Intended Entry Term

Boarding or Day Status

Select Your Arts Interests

Music - Instrumental

Music - Vocal

Theater

Visual Arts

Would you like to receive information about financial aid?

Yes

No

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Parent/Guardian Contact Information Relationship to Student First Name Last Name Email (must be different than the student's email address) Phone I would like to receive text messages about Peddie. I would like to receive text messages about Peddie. Yes No Resides with Student Resides with Student Yes No Country Street City Region Postal Code

Additional Parent / Guardian Contact Information

Additional Information

How did you hear about The Peddie School?

Please Specify

Optional: Is there anything about yourself that you would like to share with us at this time?