DIA Waitlist

Must be accompanied with DIA's Family Application form.

Child Name *

First

Last

Nickname

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Birthday *

Gender *

Male
Female

Sibling(s) currently attending DIA *

Yes
No

Number of sibling(s) attending DIA

Sibling Section

Program of Interest

All programs are FULL DAY, up to 10 hours daily care allowed
Opening Hours: 7:00am - 5:30pm, Monday - Friday
10-month option offered for 3's and 4's programs ONLY
*Summer of Discovery is available in June & July

Select Program *

One's (12 - 24 months)
Two's (24-36 months)
Three's (36 - 48 months) 12-month (includes Summer of Discovery)
Three's (36 - 48 months) 10-month (excludes June & July)
Three's (36 - 48 months) Summer of Discovery
Four's (48 - 60 months) 12-month (includes Summer of Discovery)
Four's (48 - 60 months) 10-month (excludes June & July)
Four's (48 - 60 months) Summer of Discovery

Registration Fees (per family)

Non-refundable upon submission

Multiple Children? *

Yes
No

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Parent Signature *

Date *//

Daniel Island Academy does not accept medical of religious immunization exemptions.
Waitlist placement is based on date that forms & fees are received.
Guaranteed enrollment is not promised. It is dependent on availability.
All policies and terms published in the DIA Parent Handbook apply.

Student Name

School Year

Program of Interest

Registration Fees (per family)

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