Pilot for a Day Registration Form
What is your son's first name? *
Your answer
What is your son's last name? *
Your answer
What school does your son currently attend? *
Your answer
What grade is your son in? *
What is the home street address? *
Example: 555 Maple Lane
Your answer
What city does the student live in? *
Your answer
What is the student's zip code? *
Your answer
What are you son's hobbies and interests? (We use this information to pair your son up with a DLS Current Student Ambassador.) *
Your answer
What day would you like your son to attend? *
MM
/
DD
/
YYYY
Would a parent like to meet with an Admissions Representative during the visit for a tour and to have any questions answered? *
Please list the email where you would like the confirmation sent. *
Your answer
What is the best emergency contact phone number? *
Your answer
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