Divine Savior Academy Information Form
Please fill out this entire form to register your student. If you are registering more than one student, please fill out this form multiple times as needed.
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Parent Name(s) *
Home Address *
Parent Phone Number #1 *
Parent Phone Number #2
Parent Email #1 *
Parent Email #2
Student's Grade Level *
Student's Preferred Name *
Student's Gender *
Does your child have any special considerations that our instructors should be aware of?
 *
Does your student have siblings that would benefit from this program in the future? Please tell us their names, birth dates, and current grade so we can mail them a very special invitation card when they are old enough.
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We find that students enjoy having their friends in the same class. It helps them to reinforce and practice the lessons we teach. Are there any friends we should invite to participate? Please provide parent's name, email address, and student's name. We will e-mail them an invitation to join your child. *
By clicking here and by registering my child for the Austin Cotillion I acknowledge that I have read and agreed to the Terms and Conditions *
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