Thank you for your interest in enrolling your student(s) at Paramount Cottage Home. Please complete the form below and a member of our enrollment team will give you a call within two business days to walk you through the Enroll Indy application.

For immediate assistance, call 317.519.4588.

Student Name

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Student First Name

Student Last Name

Date of Birth

Parent Name

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Parent First Name

Parent Last Name

Address

Address 1

City

ZIP / Postal Code

State / Province

Phone

Email Address

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Current School