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Students under the age of 13 should have a parent complete this form.

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Contact Information

First Name *

Miss

Middle Initial

Last Name *

Date of Birth

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Address 1*

Address 2

City*

State*

Zip*

Country
(If outside the U.S.)

Phone *

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Fax

Email *

Mother

Mother's Name
Work Phone

Father

Father's Name
Work Phone

School Information

How did you hear about Chatham Hall?
Current Grade *
Grade Applying for *
Year Applying for *

Interests

Academic Interests
	Sports
	Riding/Horseback	Saddle Seat Hunt Seat Other
	Music	Type:
	Drama	Type:
	Dance	Type:
	Art	Type:
	Other

School Clubs

Present School

Please review your information for accuracy, then click the "Submit" button.

Open House
October 21 & 22, 2012

Open House
November 11 & 12, 2012

Open House
January 20 & 21, 2013

Application Deadline
February 1, 2013

Revisit Weekend
April 6 & 7, 2013