Barnesville School -> Admissions -> Barnesville School Open Houses

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NAME

First

Last

CHILD'S NAME

Last

First

Which Open House would you like to attend?

ADDRESS

Street

City

State

Zip

Phone Number

Email Address

Child's Date of Birth

Citizenship

Ethnicity (optional)

Entering Grade

Current School

How did you hear about us?

Please check all that apply

	Current Family
	Faculty/Staff Member

Please indicate who

	Newspaper Ad
	Postcard in Mail
	MOMS Club Fair
	Community Event (ex. Poolesville Day)

Please indicate which

Barnesville School Website

Other Website

Please Indicate Which

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