Request for Information about Breakwater
Would you like more information about Breakwater School?  Please fill out the form below, and we'll send you a packet of information about our school, the admissions process, and an application form. You may also call our Director of Admissions Abbie Carter at 207.772.4295 x232.

Child's Name
Child's Birth Date   mm/dd/yyyy
Grade Next September
Applying for Year

1st Parent Name
Address
City
State
Zip Code
Home Phone
Email

2nd Parent Name 
2nd Address (if different)
City
State
Zip Code
Home Phone
Email

How did you hear
about Breakwater?
     
856 Brighton Avenue · Portland, Maine 04102 · tel. 207.772.8689 · fax. 207.772.1327
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