Thank You for Inquiring About Politz Day School
Thank you for your interest in Politz Day School. Please complete the brief form below, so that we can best support your request.

Parent Information
Parent 1 Title and First Name*
Parent 1 Last Name*

Parent 2 Title and First Name
Parent 2 Last Name

Let us know the best way to reach you by completing the information below.

Phone Number*

Address*
E-mail Address*

What year are you interested in enrollment for?*

Are you....*

Where do you currently live?*

How did you hear about Politz?*

Student Information
First Name*
Last Name*
Birthdate*
Current Grade*
Gender*

Current School/Program*

Please list the schools your other child(ren) attends if applicable. *
Current Grade

Visit Politz
I/We would like to schedule a private tour of Politz

Please indicate if you have a trip to Cherry Hill already scheduled.