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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 *
Home Address
  • Street Address *
  • City *
  • Country *
  • State
    *
  • Zip
    *
  • How Did You Hear About Us? *
    Details:

  • Relationship to the student:

  • Do you have any specific questions you would like us to answer?

  • Would you like to go ahead and schedule a tour?
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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 *
    Middle Name
    Last Name *
  • Birthdate *
    (mm/dd/yyyy)
    Gender *
  • Grade Level of Interest *
    School Year *
  • Student Interests
  • Current School
  •  
  • Is There Another Student?
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  • Parent / Guardian Notes
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