Detroit Achievement Academy - Application for Enrollment
School Year *
Grade Level *
Student Last Name *
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Student First Name *
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Student Date of Birth *
MM
/
DD
/
YYYY
Street Address 1 *
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Street Address 2 *
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City *
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State *
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Zip Code *
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Parent/Guardian Name *
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Parent/Guardian Address (only if different from student)
Please include street sddress, city, state, and zip code
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Parent/Guardian E-mail Address *
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Parent/Guardian Phone Number(s) *
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What else should we know?
Tell us anything!
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This form was created inside of Detroit Prep.