Admissions Open House 2020 Registration

2024-2025 Admissions Open House: Registration Form
Thank you for considering Dominion Ridge Academy! Please utilize this form to register for one of many 2024-2025 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, April 8 th- Please select time you would like to attend:*

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

10 AM1 PMNone of the above
Thursday, April 24 th- Please select time you would like to attend:*

10 AM1 PMNone of the above
Tuesday, April 29 th- 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:

2024-2025 Admissions Open House: Registration Form

Open House Tour Availability

Student Information

Parent/Guardian Information