Please give us some information about you and your child. If you have more than one child, please fill in this form separately for each. The CIC Admissions Director will contact you directly. All information is confidential. Parent Information Parent/Guardian's Name (First, Last)(required) Parent/Guardian's Email (required) Parent/Guardian's Address (required) Parent/Guardian's Telephone Number(s) List All (required) Student's Information Please make sure to fill out a form for each child separately. Student's Name (First, Last) (required) Student's Birthdate (required)