Student Registration Form
Fill out the form carefully for registration Deadline for internal DCS transfers is Monday, July 11, 2022
Student Name
*
First Name
Middle Name
Last Name
Current School
Please Select
Beverlye Intermediate School
Carver School
Carver 9th Grade Academy
Dothan High School
Dothan Preparatory Academy
Girard Intermediate School
Heard Elementary School
Highlands Elementary School
Jerry Lee Faine Elementary School
Kelly Springs Elementary School
Morris Slingluff Elementary School
Selma Street Elementary School
Not a Dothan City School Student
Anticipated 2022-2023 Grade Level
*
Please Select
7th
8th
9th
10th
11th
12th
If your child is not a student in Dothan City Schools, where do they currently attend?
Do you currently have home internet access? (DSL, cable, satellite, cellular, etc.)
Yes
No
Do you currently have a Windows PC or Chromebook that you can use for virtual learning?(If you have more than one student registered with the Dothan City Virtual School, a PC or Chromebook will be needed for each student. Please submit separate forms for each student.)
Yes
No
Parent/Guardian Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Parent/Guardian E-mail
*
example@example.com
Phone Number
*
Submit Application
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