Inquiry Form

Thank you for your interest in Bachman Academy.

Please complete the information below, and we will gladly send you more information about our school.
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 Parent/Guardian Information
*Prefix:
*First Name:
*Last Name:
*Email:
  
 Home Address
*Address:
Address 2:
*City:
*State:
*Zip/Postal Code:
Country:
Home Phone:
Mobile Phone:
Business Phone:
 

 Student Information
*First Name:
*Last Name
*Student's Age
*Student's Grade Level
*Please select one
How did you hear about Bachman Academy
*My student has been diagnosed with:
Would you like to schedule a tour of the campus?


 
Best time to call
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