BRS Enrollment for Fall 2011:

• * Child's First and Last Name:
• * Child's Birthdate:
• Grade September 2011:
• Name of Regular School:
• Interests / Activities:
• Please describe any allergies or special problems:
• Name of sibling(s) who will attend Russian School:
• * Mailing Address:
• * Contact Phone:
• * Parent's E-mail:

• At what program are you applying?

  Wednesday Groups
  Sunday Groups



---

Parents' info

• * First Parent's Name:
• * First Parent's Home Phone:
• First Parent's Cell Phone:
• First Parent's Occupation:


• Second Parent's Name:
• Second Parent's Home Phone:
• Second Parent's Cell Phone:
• Second Parent's Occupation:



---

• * Please let us be sure that you are not a spam robot.
  Solve simple math problem and write the answer: 6-6=