AD's Application for Enrollment
2017-2018 School Year
Prospective Student Information
Year for Enrollment
Grade for Enrollment
What is the grade you wish your child to be enrolled?
Student Name
Your answer
Date of Birth
MM
/
DD
/
YYYY
Gender
Contact Information
Street Address
Your answer
City/Town
Your answer
Zip Code
Your answer
Home Phone Number
Your answer
Email Address
Your answer
Applicant's Current School Information
If applicable.
Present School
Your answer
Present Grade
Parental Information
Father's Name
Your answer
Father's Mobile Phone Number
Your answer
Mother's Name
Your answer
Mother's Mobile Phone Number
Your answer
Applicant Sibling Information
Sibling #1 Name
Your answer
Sibling #1 Current Grade or Age
Your answer
Sibling #2 Name
Your answer
Sibling #2 Current Grade or Age
Your answer
Applicant Additional Information
Is there any other educationally related information you would like us to know?
Your answer
How did you hear about us?
By completing this application, you hereby acknowledge that this form does not guarantee my child a spot at Academie Da Vinci (AD). You also understand that enrollment at AD is based on a lottery system with a sibling preference and active military policy. It is your responsibility to ensure that your child(ren) has/have an alternative educational opportunity for the year of anticipated enrollment. Further, you understand that if your child does not enroll this year, you are responsible for completing a new application for each year you wish to apply for admission.
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