Application Form

Student Information

Name^*

Gender

MaleFemale

Race^*

Ethnicity^*

School Year Applied For^*

Grade Applied For^*

Did the student attend a VPK?

YesNo

Date of birth^*

Parent/Guardian Information

Name^*

Relationship to Applicant^*

Resident Address^*

Mailing address

if different than resident address

Primary Email^*

A valid email address is required to complete this application. You will receive instructions in the email provided to confirm your application. If not confirmed within 7 days, submitted applications will be discarded.

Alternate Email

Home phone^*

Work phone

Mobile phone

Other information

Do you currently have a student attending our school?

YesNo

Are any of your other family members applying for placement at our school this year?

YesNo

You must submit a separate application for each sibling.

Current School

How did you hear about us?

Terms and Conditions:

I hereby certify that, to the best of my knowledge and belief, the answers to the foregoing questions and statements made by me in this application are complete and accurate. I understand that any false information, omissions, or misrepresentations of facts may result in rejection of this application or future dismissal of the applicant. I also understand that the School will contact me for future communication.

I agree to the above terms

DISCOVERY ACADEMY OF SCIENCE Application Form