Student's Preferred Name (if applicable)
Student's Name
*
First Name
Last Name
Parent/Guardian's Name(s)
*
Student's Home Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Student's Current School
*
Parent's Email Address
*
example@example.com
Please list your son's extra-curricular, academic, and athletic interests
Parent's Phone Number
*
Please enter a valid phone number.
Student's T-Shirt Size
Please Select
XS
Small
Medium
Large
XL
XXL
XXXL+
There will be a parent meeting in the gym to go over next steps and answer questions. Do you plan to attend?
Yes
No
Undecided
We will be hosting an Open Gym After-Party after the exam is finished. Starting at 12:00pm. Pizza and games provided. Please let us know if your son would like to attend.
Yes he will be attending
No he will not be able to attend
Undecided
Does the student have a diagnosed learning difference and/or an IEP, SAP, or extended time accommodations? If yes, please email a copy of the paperwork to Emily.Gardner@desaleshs.com
Please Select
No
Yes
Submit
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