Please send me more information about Branksome Hall with an application form.

Application fee: $200.

Parent's or Guardian's Name
Home Address		E-mail Address
City		Home Telephone
Province / State Postal / ZIP Code		Country

Student's Name
Desired Year of Entry Current Grade To Enter Grade		Day Student Residence Student

Under the Personal Information Protection and Electronics Documents Act (PIPEDA) Branksome Hall is committed to protect the personal information of all our constituents. All information collected on this form is in accordance with the Branksome Hall Privacy Policy, available at http://www.branksome.on.ca/about/privacy/.