Individualized Information Session Sign Up Form

I have read the statement below (required to complete registration)

I understand that The Gillen Brewer School is no longer a State Approved School and does not accept publicly funded students. All new students accepted into Gillen Brewer will be privately placed. Please call the Admissions Department to discuss how our families secure tuition reimbursement.

Join the admissions team for an opportunity to have an informal conversation and ask any initial questions about our program and admissions process.

Submit the inquiry form below and someone from our team will follow-up to schedule a time to meet at your convenience.

Parent/Caregiver's First Name*

Parent/Caregiver's Last Name*

Parent/Caregiver's Phone*

Parent/Caregiver's Email*

Relationship To Child*

Relationship To Child (Other)

Child's First Name*

Child's Last Name*

Child's Date of Birth* (mm/dd/yyyy)

Type Any Initial Questions Here

Please send a confirmation email to the address below: