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Request a Telephone Call to Learn More About Salem Academy

We look forward to getting to know you and your student(s). Please complete the form below and our Admissions Office (Sue Fridley K-12; Deanna Wilson PreK) will call you to answer your questions.  

NOTE: Kindergarten students must turn 5 years old by September 1. If the student turns 5 after that date, please complete the form our Preschool 4's program.

We strive to call on the same business day, however when the admissions office is at peak season, it can take 3 business days. 

* Indicates a required field.

Parent / Guardian Information
  • First Parent / Guardian
  • First Name *
  • Last Name *
  • Email Address *
  • Confirm Email Address *
  • Gender
  • Cell Phone *
  • Second Parent / Guardian
    (leave blank if not applicable)
  • First Name *
  • Last Name *
  • Email Address *
  • Confirm Email Address *
  • Gender
  • Cell Phone *

  •  How did you hear about Salem Academy? (check all that apply)
    *
  •  
  • Student 1
  • First Name *
    Last Name *
  • Birthdate *
    (mm/dd/yyyy)
    Gender *
  • Grade Level of Interest *
    School Year *
  • Current School
  •  
  • Is There Another Student?
    Yes No
  •  
  • Parent / Guardian Notes
  •