Request Information

Let Pacific Autism Center For Education know that you are interested in learning about their school. Provide your information below to request this school's viewbook and application. Your request will typically be processed within 24 hours. If you have more specific questions for this school, please use our Email Schools form instead.

Notes for Prospective Students

Students are placed in our K-12 program through their home school district, or the county office of education. Students are placed in our preschool through the San Andreas Regional Center, their local school district or private pay placement. Find out more here: http://www.pacificautism.org/programs/educational-services/.

Student Information

Email:

Name of parent:

Student first name:

Student last name:

Student date of birth:

Student is:

Male

Female

Currently in grade:

Seeking entry for grade:

Target start date:

About the Student

Please briefly describe academic, athletic, and extracurricular interests of the student:

Address and Telephone Number

Home address:

City:

Country:

State:

Zip: (enter "N/A" if not applicable)

Phone:

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