DGK School Registration - Two Child

Registration Form - Two Children

*School registration fee is non – refundable
Parent/Guardian Information
Name*

First NameLast Name
Email Address*
example@example.com
Phone Number*

Area CodePhone Number
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Child Information (1)
Name (1)*

First NameLast Name
Date of Birth (1)*

MonthDayYear
Date
What grade are you registering the child for? (1)*
Child Information (2)
Child Name (2)*

First NameLast Name
Date of Birth (2)*

MonthDayYear
Date
What grade are you registering the child for? (2)*

My Products

Registration Fee - Two Children$425.00

School Registration Two Children

Total $0.00

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

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