Nerinx Hall

How can we help you today?

*Please fill out one form per child.*

I would like to:

Register for Little Labs (5th, 6th, & 7th Grades)

Select a time slot:

Contact for this appointment

First Name

Last Name

Phone

Email

Register for 5th Grade Fun in Fifth

Select the Program Date:

Contact for this appointment

First Name

Last Name

Phone

Email

Names of friends your daughter would like to be grouped with (we will do our best to honor requests)

Your daughter’s t-shirt size

Are there any health concerns we should be aware of that may impact her visit:

Register for 7th Grade Discover Day

Select the Program Date:

Contact for this appointment

First Name

Last Name

Phone

Email

Your daughter’s t-shirt size

Names of friends your daughter would like to be grouped with. Participants are not paired with an individual current student, but spend the day in small groups.

After Discover Day ends at noon, families are invited to stay for a group campus tour. Would like a tour after Discover Day?

Yes No

Are there any health concerns we should be aware of that may impact her visit:

Register for 7th Grade Navigate Nerinx: A Parent & Student Event

Select the Program Date:

Contact for this appointment

First Name

Last Name

Phone

Email

Register for 6th Grade Mini Marker

Select the Program Date:

Contact for this appointment

First Name

Last Name

Phone

Email

Your daughter’s t-shirt size

Is there a current Nerinx student your daughter would like to spend the day with? We will do our best to match her with that student.

Yes No

Name of the Nerinx student your daughter would like to be paired with:

First

Last

How does your daughter know this Nerinx student? (Examples: sister, neighbor, soccer team etc)

Will your daughter be arriving with a Nerinx student?

Yes No

Will your daughter go home with a Nerinx student?

Yes No

Are there any health concerns we should be aware of that may impact her visit:

Register for a Shadow Day

Register for a Shadow Day (8th Grade and Transfer Students Only)

Contact for this appointment

First Name

Last Name

Phone

Email

Would you like to request a current student to Shadow?

Yes No

Visitors may request someone in your same grade! Shadowing a potential future classmate provides the best sense of life at Nerinx.

Who would you like to request to Shadow?

First

Last

Preferred Name

What grade is your requested Nerinx student in?

How does your daughter know the student she is requesting? (Sister, family friend etc.)

Please share anything we could set up to make your daughter’s Shadow Day great (e.g., classes she’d like to visit, activities she’s involved in etc.)

Academic Supports and Learning Accommodations Information Request

At Nerinx Hall, our Learning Consultants use documentation like educational evaluations, 504 Plans, or IEPs to create a personalized Learning Profile with accommodations tailored to each student. To share more information about our academic supports and learning accommodations, please share some context about your daughter and you'll hear from Learning Consultant team to discuss how your daughter could be supported at Nerinx.

Does the applicant have any of the below? Please select all that apply:

Does your daughter meet with or use resources provided by her current school's Learning Consultant?

Yes No

Has your daughter completed a comprehensive educational evaluation resulting in a diagnosis within the last three years?

Yes No

Student Information

Student's Name

First

Last

Preferred Name

Student's Date of Birth

mm/dd/yyyy

Student's Current Grade

Interested in Grade

Interested in

For the year of

Student's Current School

Please specify school name

Household Information

Parent's Name

First

Last

Preferred Name

Parent's Relationship to Student

Parent's Primary Phone (xxx-xxx-xxxx)

Type

Number

Parent's Email

Student's Mailing Address