Request Information

An information packet may be requested by using our online request form. Once completed, the form will be automatically e-mailed to our admission coordinators. If you have any questions, please call (954) 262-4499. Thank You!

Fields marked with * are required.

Please complete the form below

Parent/Guardian

Title:

* Last Name:

* First Name:

* Email:

* Street Address:

* City:

* State:

* Zip Code:

Country:

Home Telephone:

Work Telephone:

Cell Phone:

* How did you hear about University School?

Child's Name	Current School	Grade Entering






* Anticipated Date of Enrollment:

Additional Comments:

Date: