Free Tuition Interest Form

1
Parent's Name* This field is required.
First Name
Last Name
2
Child's Name* This field is required.
First Name
Last Name
3
Child's Grade* This field is required.
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
4
Child's School* This field is required.
5
Do you wish to register another child to Dream Academy’s Private school Program?* This field is required.
YESNO
6
Child 2's Name
First Name
Last Name
7
Child 2's Grade* This field is required.
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
8
Child 2's School
9
Do you wish to register another child to Dream Academy’s Private school Program?* This field is required.
YESNO
10
Child 3's Name
First Name
Last Name
11
Child 3's Grade* This field is required.
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
12
Child 3's School
13
Parent's Phone Number* This field is required.
Area Code
Phone Number
14
Parent's E-mail* This field is required.
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