New Student Application

Student Information

Student's Name(Required)

First Last

Student's Date of Birth(Required)

Students Gender(Required)

Male

Female

Which school day would you like to enroll your child for?(Required)

Preschool

K-5 Enrichment

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

First Last

Address(Required)

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

Email(Required)

Your Phone(Required)

Best Time To Call You

When is the best time for us to reach you via telephone?

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)

How did you hear about Day Academy

Instagram

Website

Friend

If Applicable, 2nd Student's Name

First Last

2nd Student's Date of Birth

Students Gender

Male

Female

Which school day would you like to enroll your child for?

Preschool

K-5 Enrichment

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

Where does he/she struggle?

Where does he/she find joy?

If Applicable, 3rd Student's Name

First Last

3rd Student's Date of Birth

3rd Students Gender

Male

Female

Which school day would you like to enroll your child for?

Preschool

K-5 Enrichment

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

Where does he/she struggle?

Where does he/she find joy?

For the 2024 - 2025 school year, the Day Academy is considering adding a second day of instruction that would meet on Mondays from 9 am to 12 pm and be focused on reading and math. Would this be of interest to your family?

Yes

No

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The Day Academy

2024 – 2025 Application

Student Information