New Student Application - The Day Academy

Parent or Guardian's First and Last Name(Required)

First Last

Email(Required)

Your Phone(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

First Student's Name(Required)

First Last

First Student's Date of Birth(Required)

First Students Gender(Required)

Male

Female

Which class(es) would you like to enroll your first child in?(Required)

Preschool Class (Mondays 9 am - 12 pm)

K-2 Math and Reading (Mondays 9 am - 12 pm)

K-5 Enrichment (Thursdays 9 am to 2 pm)

6-7 Enrichment (Thursdays 9 am to 2 pm)

What are his/her strengths both inside and outside of the classroom?(Required)

Where does he/she struggle?(Required)

Where does he/she find joy?(Required)

Do you have a second student you would like enroll in Day Academy?

Yes

No

Fourth Student's Name

First Last

Fourth Student's Date of Birth

Fourth Student's Gender

Male

Female

Which class(es) would you like to enroll your fourth student in?

Preschool Class (Mondays 9 am - 12 pm)

K-2 Math and Reading (Mondays 9 am - 12 pm)

K-5 Enrichment (Thursdays 9 am to 2 pm)

6-7 Enrichment (Thursdays 9 am to 2 pm)

What are his/her strengths both inside and outside of the classroom?(Required)

Where does he/she struggle?(Required)

Where does he/she find joy?(Required)

CAPTCHA

The Day Academy