Admissions Open House 2020 Registration

2024 Admissions Open House: Registration Form
Thank you for considering Dominion Ridge Academy! Please utilize this form to register for one of many 2024 Open Houses.

This is an excellent opportunity to tour our campus, meet our team, and learn how Dominion Ridge Academy offers a "big school" experience in a "small school" environment.

For further questions, don't hesitate to contact our office at (540) 635-6799 or by emailing admissions@dominionridgek12.com.
Open House Tour Availability

Please select which date and time you would like to attend
Tuesday, December 3rd- Please select time you would like to attend:*

10 AM1 PMNone of the above
Thursday, December 5th- Please select time you would like to attend:*

10 AM1 PMNone of the above
Tuesday, December 17th- Please select time you would like to attend:*

10 AM1 PMNone of the above
Thursday, December 19th- Please select time you would like to attend:*

10 AM1 PMNone of the above
Which enrollment year is being considered? *
How many students will be enrolled?*
Student Information
Student (1) Name*

First NameLast Name
Student (1) Birthday*

MonthDayYear
Date
Student (1) Current Grade*
What grade are you interested in for Student (1)? *
Student (1) Current School*
Student (2) Name*

First NameLast Name
Student (2) Birthday*

MonthDayYear
Date
Student (2) Current Grade*
What grade are you interested in for Student (2)? *
Student (2) Current School*
Student (3) Name*

First NameLast Name
Student (3) Birthday*

MonthDayYear
Date
Student (3) Current Grade*
What grade are you interested in for Student (3)? *
Student (3) Current School*
Student (4) Name*

First NameLast Name
Student (4) Birthday*

MonthDayYear
Date
Student (4) Current Grade*
What grade are you interested in for Student (4)? *
Student (4) Current School*
Student (5) Name*

First NameLast Name
Student (5) Birthday*

MonthDayYear
Date
Student (5) Current Grade*
What grade are you interested in for Student (5)? *
Student (5) Current School*
Student (6) Name*

First NameLast Name
Student (6) Birthday*

MonthDayYear
Date
Student (6) Current Grade*
What grade are you interested in for Student (6)? *
Student (6) Current School*
Parent/Guardian Information
Parent/Guardian 1 Attending Name*

First NameLast Name
Parent/Guardian 1 Relationship to Student*
Parent/Guardian 1 Email*
example@example.com
Parent/Guardian 1 Phone Number*
Phone Number Type*
Is there a 2nd parent/guardian planning to attend this event?*

YesNo
Parent/Guardian 2 Name*

First NameLast Name
Parent/Guardian 2 Relationship to Student*
Parent/Guardian 2 Email*
example@example.com
Parent/Guardian 2 Phone Number
Phone Number Type
Total Number of People Planning to Attend Open House (including the student, if applicable)*
How did you hear about DRA?*
How did you hear about DRA?

ChurchCurrent or Past Parent/StudentCurrent SchoolDRA Faculty/StaffFacebookFacebook AdFamily MemberGoogle AdInstagramRealtor/New HomeStreet BannerWebsiteWord of MouthOther
Does your child(ren) have learning concerns or a medical diagnosis? IEP, 504 Plan, ADD, ADHD... Please explain.*
Is there any other information you would like us to know?
Should be Empty:

2024 Admissions Open House: Registration Form

Open House Tour Availability

Student Information

Parent/Guardian Information