Dragon Legacy Program Child Sign up
This form must be completed for each child you are signing up for the Dragon Legacy Program.
Dragon Legacy Information
Child's Full Name
*
First Name
Middle Name
Last Name
Child's Permanent Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Gender
*
male
female
non-gender specific
Child's Date of Birth
*
-
Month
-
Day
Year
Date
Child's Email (if applicable)
Projected high school graduation year
*
Alumni Parent Information
Alumni Parent (1) to be listed on child's record - first name, last name, (maiden name if applicable), class year
*
Alumni Parent (1) Address (if different from child)
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Alumni Parent (1) email
*
example@example.com
Alumni Parent (1) Cell Phone Number
*
-
Area Code
Phone Number
Alumni Parent and/ or Parent (2) to be listed on child's record - first name, last name, (maiden name if applicable), class year (if applicable)
Alumni Parent and/ or Parent (2) Address (if different from child)
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Alumni Parent and/ or Parent (2) email
example@example.com
Alumni Parent and/ or Parent (2) Cell Phone Number
-
Area Code
Phone Number
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