Information Request PARENT INFO * Relationship to Student --- Father Mother Step-Father Step-Mother Grandmother Grandfather Guardian Other * Parent First Name * Parent Last Name * Parent Email *Confirm Email * Parent Phone Number * Are you a graduate of Brentwood Academy? Yes No * Are you a Brentwood Academy Faculty/Staff Member? Yes No * Do you have a student currently attending Brentwood Academy? Yes No * Country United States of America Afghanistan Albania Algeria Andorra Angola Anguilla Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Colombia Comoros Congo Cook Islands Costa Rica Cote D'Ivoire Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Grenada Guatemala Guinea Guinea-Bissau Guyana Haiti Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Korea, Democratic People's Republic Of Korea, Republic Of Kuwait Kyrgyz Republic Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macau Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Mauritania Mauritius Mexico Moldova Monaco Mongolia Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norway Oman Pakistan Panama Papua New Guinea Paraguay Peru Philippines Poland Portugal Qatar Romania Russian Federation Rwanda Saint Kitts and Nevis Saint Lucia Saint Vincent and The Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Seychelles Sierra Leone Singapore Slovak Republic Slovenia Solomon Islands Somalia South Africa Spain Sri Lanka Sudan Suriname Swaziland Sweden Switzerland Syrian Arab Republic Taiwan Tajikistan Tanzania Thailand Togo Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Tuvalu Uganda Ukraine United Arab Emirates United Kingdom Unknown Uruguay Uzbekistan Vatican City Venezuela Viet Nam Virgin Islands (British) Wallis and Futuna Islands Western Sahara Yemen Yugoslavia Zaire Zambia Zimbabwe * Street Address * City * State ---- Alabama Alaska American Samoa Arizona Arkansas Armed Forces Americas Armed Forces Europe Armed Forces Pacific California Colorado Connecticut Delaware District of Columbia Federated States of Micronesia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Marshall Islands Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northern Mariana Islands Ohio Oklahoma Oregon Palau Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming * Province/Region * Zip Code * County ---- Adams Alexander Bond Boone Brown Bureau Calhoun Carroll Cass Champaign Christian Clark Clay Clinton Coles Cook Crawford Cumberland DeKalb De Witt Douglas DuPage Edgar Edwards Effingham Fayette Ford Franklin Fulton Gallatin Greene Grundy Hamilton Hancock Hardin Henderson Henry Iroquois Jackson Jasper Jefferson Jersey Jo Daviess Johnson Kane Kankakee Kendall Knox La Salle Lake Lawrence Lee Livingston Logan McDonough McHenry McLean Macon Macoupin Madison Marion Marshall Mason Massac Menard Mercer Monroe Montgomery Morgan Moultrie Ogle Peoria Perry Piatt Pike Pope Pulaski Putnam Randolph Richland Rock Island Saline Sangamon Schuyler Scott Shelby St. Clair Stark Stephenson Tazewell Union Vermilion Wabash Warren Washington Wayne White Whiteside Will Williamson Winnebago Woodford * County STUDENT INFO * Student First Name * Student Last Name * Current Grade ---- Pre-K Kindergarten Grade 1 Grade 2 Grade 3 Grade 4 Grade 5 Grade 6 Grade 7 Grade 8 Grade 9 Grade 10 Grade 11 Grade 12 * Grade of Interest ---- Grade 6 Grade 7 Grade 8 Grade 9 Grade 10 Grade 11 Grade 12 * Current School ---- Antioch High School Antioch Middle School Battle Ground Academy Bellevue Middle School Bethesda Elementary School Brentwood Academy Brentwood High School Brentwood Middle School Cane Ridge High School Centennial High School Chattanooga Christian School Christ Presbyterian Academy Christ the King Clovercroft Elementary Community Child Care Crockett Elementary School Croft Middle School Currey Ingram Academy David Lipscomb Campus School Donelson Middle School East Nashville Magnet High School Edmondson Elementary School Ensworth Lower School Ensworth School Ezell-Harding Christian School Father Ryan High School Foundations Christian Academy Franklin Classical School Franklin High School Franklin Road Academy Freedom Intermediate Freedom Middle School Gateway Christian Goodpasture Christian School Grace Christian Academy Granbery Elementary Grassland Elementary Grassland Middle School Harding Academy Harpeth Hall School Haynes Middle Design Center Head Middle Magnet School Heritage Middle School Hillsboro High School Hillwood High School Home Life Academy Homeschool Hunters Bend Elementary Independence High School John Early Middle School John F.Kennedy Middle School John Overton High School John Trotwood Moore Middle School Julia Green School Kenrose Elementary KIPP Academy Nashville LaVergne Middle School Lighthouse Christian Academy Lipscomb Academy Lipscomb Elementary Meigs Academic Magnet School Montessori Academy Montgomery Bell Academy Mt. View Elementary Nashville Christian School Nashville School of the Arts New Hope Academy New Song Christian Academy Nolensville Elementary Oak Hill School Oak View Elementary Oliver Middle School Our Savior Lutheran Academy Overbrook School Page High School Page Middle School Pearre Creek Elementary Percy Priest Elementary Poplar Grove Middle School Providence Christian Academy Ravenwood High School Rock Springs Middle School Rose Park Magnet School Scales Elementary Siegel Elementary Siegel Middle School St. Bernard Academy St. Cecilia Academy St. Edward School St. Henry School St. Matthew School St. Paul Christian Academy Stokes Middle Sumner Academy Sunset Elementary Sunset Middle School The Covenant School The Westminster School Thomas Edison Elementary School Thurgood Marshall Middle Trinity Elementary School University School of Nashville Valor Collegiate Academy Walnut Grove Elementary Webb School West End Middle School Westminster School at Oak Mountain Winstead Elementary Woodland Middle School OTHER * Current School * Birthdate (When using the calendar, use the << button go back a full year and the < button to go back a month) year 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 month Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Gender --- Female Male * Do you have an additional child in your family that you are interested in sending to Brentwood Academy? Yes No * Student First Name * Student Last Name * Current Grade ---- Pre-K Kindergarten Grade 1 Grade 2 Grade 3 Grade 4 Grade 5 Grade 6 Grade 7 Grade 8 Grade 9 Grade 10 Grade 11 Grade 12 * Grade of Interest ---- Grade 6 Grade 7 Grade 8 Grade 9 Grade 10 Grade 11 Grade 12 * Current School ---- Antioch High School Antioch Middle School Battle Ground Academy Bellevue Middle School Bethesda Elementary School Brentwood Academy Brentwood High School Brentwood Middle School Cane Ridge High School Centennial High School Chattanooga Christian School Christ Presbyterian Academy Christ the King Clovercroft Elementary Community Child Care Crockett Elementary School Croft Middle School Currey Ingram Academy David Lipscomb Campus School Donelson Middle School East Nashville Magnet High School Edmondson Elementary School Ensworth Lower School Ensworth School Ezell-Harding Christian School Father Ryan High School Foundations Christian Academy Franklin Classical School Franklin High School Franklin Road Academy Freedom Intermediate Freedom Middle School Gateway Christian Goodpasture Christian School Grace Christian Academy Granbery Elementary Grassland Elementary Grassland Middle School Harding Academy Harpeth Hall School Haynes Middle Design Center Head Middle Magnet School Heritage Middle School Hillsboro High School Hillwood High School Home Life Academy Homeschool Hunters Bend Elementary Independence High School John Early Middle School John F.Kennedy Middle School John Overton High School John Trotwood Moore Middle School Julia Green School Kenrose Elementary KIPP Academy Nashville LaVergne Middle School Lighthouse Christian Academy Lipscomb Academy Lipscomb Elementary Meigs Academic Magnet School Montessori Academy Montgomery Bell Academy Mt. View Elementary Nashville Christian School Nashville School of the Arts New Hope Academy New Song Christian Academy Nolensville Elementary Oak Hill School Oak View Elementary Oliver Middle School Our Savior Lutheran Academy Overbrook School Page High School Page Middle School Pearre Creek Elementary Percy Priest Elementary Poplar Grove Middle School Providence Christian Academy Ravenwood High School Rock Springs Middle School Rose Park Magnet School Scales Elementary Siegel Elementary Siegel Middle School St. Bernard Academy St. Cecilia Academy St. Edward School St. Henry School St. Matthew School St. Paul Christian Academy Stokes Middle Sumner Academy Sunset Elementary Sunset Middle School The Covenant School The Westminster School Thomas Edison Elementary School Thurgood Marshall Middle Trinity Elementary School University School of Nashville Valor Collegiate Academy Walnut Grove Elementary Webb School West End Middle School Westminster School at Oak Mountain Winstead Elementary Woodland Middle School OTHER * Current School * Birthdate (When using the calendar, use the << button go back a full year and the < button to go back a month) year 2012 2011 2010 2009 2008 2007 2006 2005 month Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Gender --- Female Male * Do you have an additional child in your family that you are interested in sending to Brentwood Academy? Yes No * Student First Name * Student Last Name * Current Grade ---- Pre-K Kindergarten Grade 1 Grade 2 Grade 3 Grade 4 Grade 5 Grade 6 Grade 7 Grade 8 Grade 9 Grade 10 Grade 11 Grade 12 * Grade of Interest ---- Grade 6 Grade 7 Grade 8 Grade 9 Grade 10 Grade 11 Grade 12 * Current School ---- Antioch High School Antioch Middle School Battle Ground Academy Bellevue Middle School Bethesda Elementary School Brentwood Academy Brentwood High School Brentwood Middle School Cane Ridge High School Centennial High School Chattanooga Christian School Christ Presbyterian Academy Christ the King Clovercroft Elementary Community Child Care Crockett Elementary School Croft Middle School Currey Ingram Academy David Lipscomb Campus School Donelson Middle School East Nashville Magnet High School Edmondson Elementary School Ensworth Lower School Ensworth School Ezell-Harding Christian School Father Ryan High School Foundations Christian Academy Franklin Classical School Franklin High School Franklin Road Academy Freedom Intermediate Freedom Middle School Gateway Christian Goodpasture Christian School Grace Christian Academy Granbery Elementary Grassland Elementary Grassland Middle School Harding Academy Harpeth Hall School Haynes Middle Design Center Head Middle Magnet School Heritage Middle School Hillsboro High School Hillwood High School Home Life Academy Homeschool Hunters Bend Elementary Independence High School John Early Middle School John F.Kennedy Middle School John Overton High School John Trotwood Moore Middle School Julia Green School Kenrose Elementary KIPP Academy Nashville LaVergne Middle School Lighthouse Christian Academy Lipscomb Academy Lipscomb Elementary Meigs Academic Magnet School Montessori Academy Montgomery Bell Academy Mt. View Elementary Nashville Christian School Nashville School of the Arts New Hope Academy New Song Christian Academy Nolensville Elementary Oak Hill School Oak View Elementary Oliver Middle School Our Savior Lutheran Academy Overbrook School Page High School Page Middle School Pearre Creek Elementary Percy Priest Elementary Poplar Grove Middle School Providence Christian Academy Ravenwood High School Rock Springs Middle School Rose Park Magnet School Scales Elementary Siegel Elementary Siegel Middle School St. Bernard Academy St. Cecilia Academy St. Edward School St. Henry School St. Matthew School St. Paul Christian Academy Stokes Middle Sumner Academy Sunset Elementary Sunset Middle School The Covenant School The Westminster School Thomas Edison Elementary School Thurgood Marshall Middle Trinity Elementary School University School of Nashville Valor Collegiate Academy Walnut Grove Elementary Webb School West End Middle School Westminster School at Oak Mountain Winstead Elementary Woodland Middle School OTHER * Current School * Birthdate (When using the calendar, use the << button go back a full year and the < button to go back a month) year 2012 2011 2010 2009 2008 2007 2006 2005 month Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Gender --- Female Male * Do you have an additional child in your family that you are interested in sending to Brentwood Academy? Yes No * Student First Name * Student Last Name * Current Grade ---- Pre-K Kindergarten Grade 1 Grade 2 Grade 3 Grade 4 Grade 5 Grade 6 Grade 7 Grade 8 Grade 9 Grade 10 Grade 11 Grade 12 * Grade of Interest ---- Grade 6 Grade 7 Grade 8 Grade 9 Grade 10 Grade 11 Grade 12 * Current School ---- Antioch High School Antioch Middle School Battle Ground Academy Bellevue Middle School Bethesda Elementary School Brentwood Academy Brentwood High School Brentwood Middle School Cane Ridge High School Centennial High School Chattanooga Christian School Christ Presbyterian Academy Christ the King Clovercroft Elementary Community Child Care Crockett Elementary School Croft Middle School Currey Ingram Academy David Lipscomb Campus School Donelson Middle School East Nashville Magnet High School Edmondson Elementary School Ensworth Lower School Ensworth School Ezell-Harding Christian School Father Ryan High School Foundations Christian Academy Franklin Classical School Franklin High School Franklin Road Academy Freedom Intermediate Freedom Middle School Gateway Christian Goodpasture Christian School Grace Christian Academy Granbery Elementary Grassland Elementary Grassland Middle School Harding Academy Harpeth Hall School Haynes Middle Design Center Head Middle Magnet School Heritage Middle School Hillsboro High School Hillwood High School Home Life Academy Homeschool Hunters Bend Elementary Independence High School John Early Middle School John F.Kennedy Middle School John Overton High School John Trotwood Moore Middle School Julia Green School Kenrose Elementary KIPP Academy Nashville LaVergne Middle School Lighthouse Christian Academy Lipscomb Academy Lipscomb Elementary Meigs Academic Magnet School Montessori Academy Montgomery Bell Academy Mt. View Elementary Nashville Christian School Nashville School of the Arts New Hope Academy New Song Christian Academy Nolensville Elementary Oak Hill School Oak View Elementary Oliver Middle School Our Savior Lutheran Academy Overbrook School Page High School Page Middle School Pearre Creek Elementary Percy Priest Elementary Poplar Grove Middle School Providence Christian Academy Ravenwood High School Rock Springs Middle School Rose Park Magnet School Scales Elementary Siegel Elementary Siegel Middle School St. Bernard Academy St. Cecilia Academy St. Edward School St. Henry School St. Matthew School St. Paul Christian Academy Stokes Middle Sumner Academy Sunset Elementary Sunset Middle School The Covenant School The Westminster School Thomas Edison Elementary School Thurgood Marshall Middle Trinity Elementary School University School of Nashville Valor Collegiate Academy Walnut Grove Elementary Webb School West End Middle School Westminster School at Oak Mountain Winstead Elementary Woodland Middle School OTHER * Current School * Birthdate (When using the calendar, use the << button go back a full year and the < button to go back a month) year 2012 2011 2010 2009 2008 2007 2006 2005 month Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Gender --- Female Male Please click here to view information on Athletics. 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