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Thank you for your interest in Topeka Collegiate!

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Parent / Guardian Information
  • First Parent / Guardian
  • First Name *
  • Last Name *
  • Email Address *
  • Confirm Email Address *
  • Cell Phone *
  • Second Parent / Guardian
    (leave blank if not applicable)
  • First Name *
  • Last Name *
  • Email Address *
  • Confirm Email Address *
  • Cell Phone *
  • How Did You Hear About Us? *
    Details:

  • Would you like to go a schedule a tour? If so, please submit a Campus Tour Request.
    Yes   No

  • Would you like your student to attend a Shadow Day?
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  • How do you want us to respond to this request?
    *

  • Admissions Referral: did someone refer you to our school? If so, who? If none, type None.
    *
  •  
  • Student 1
  • First Name *
    Last Name *
  • Birthdate *
    (mm/dd/yyyy)
    Gender
  • Grade Level of Interest *
    School Year *
  • Current School
  •  
  • Is There Another Student?
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  •  
  • Parent / Guardian Notes
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