Thank you for your interest in The Lippman School! We hope you will take a few minutes to provide us with some information. Once we receive this form, our Admission Staff will schedule a visit for you. We look forward to being in touch with you shortly.

Please fill out this form for your eldest student and we will gather information about your other child(ren) at a later date.


Boy Girl

Yes No



Call Email

Parent/Guardian 1







Yes No

Parent/Guardian 2







Yes No

Additional Information

Current Lippman School family
Lippman School alumni
Lippman School employee
Family or employee at your current school
Internet search
A Lippman School mailing
Print advertisement
Radio spot
Tutor/Educational Consultant
Relocation Service

Looked at the School's website
Attended an Open House or Drop-In Day
Spoken with current or past Lippman School families
Looked at the School's Facebook page

The Lippman School | 750 White Pond Drive | Akron, OH 44320 | Phone: 330.836.0419 | Fax: 330.869.2514