Thank You

Your information request has been successfully submitted. A member of the Modin team will reach out to provide you with additional information and to set up a time to speak. Should you have any immediate questions, please feel free to call or email us at any time at +1.207.465.4444 or info@modin.com. We look forward to speaking with you and becoming acquainted with your family.

Best regards,

Howard, Lisa, & Samara
Directors

You can close this window now.
Information Request
To be completed by a parent/legal guardian ONLY. If you are under the age of 13, please click here.
* required field
First Parent/Guardian Information
Second Parent/Guardian Information
 
Home Address
First Child's Information
Male     Female     Other
Second Child's Information
Male     Female     Other
Third Child's Information
Male     Female     Other
Final Questions