Enroll | Gerald Dawkins Academy

Application for Enrollment [2024 - 2025 School Year]

(Student Information)

Entering Grade:(Required)

K

1

2

3

4

Name(Required)

First Last

Birthday(Required)

Gender(Required)

Female

Male

(Parent/Guardian Information)

Name(Required)

First Last

Relationship to Student(Required)

Address

Street Address Address Line 2 City State ZIP Code

Home Phone

Mobile Phone(Required)

Email(Required)

Child Residency Status

Full Time

Part Time

Does not live with this parent/guardian

(Parent/Guardian Information)

Name

First Last

Relationship to Student

Address

Street Address Address Line 2 City State ZIP Code

Home Phone

Mobile Phone

Email

Child Residency Status

Full Time

Part Time

Does not live with this parent/guardian

How did you hear about Gerald Dawkins Academy?(Required)

Email

This field is for validation purposes and should be left unchanged.

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