Family Application

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Must be accompanied with DIA’s Waitlist form or Guaranteed Enrollment form (2023-2024).

ALUMNI: Has anyone in your immediate family graduated from DIA? *

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Parent/Guardian 1

Name *

First

Last

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Cell # *

Work #

Email *

Confirm Email

*WORK emails may have a strict filtering system. PERSONAL is best.

Residence *

Address Line 1

Address Line 2

City

State

Zip Code

Parent/Guardian 2

Name *

First

Last

Email *

Confirm Email

*WORK emails may have a strict filtering system. PERSONAL is best.

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Cell # *

Work #

Residence

Address Line 1

Address Line 2

City

State

Zip Code

Child(ren)

Please list all that apply (ages 1-5 are eligible to attend DIA)

Number of Children Applying to DIA *

Can complete application for at up to four children.

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Name

DOB

School Year

How did you hear about us? (Please check all that apply)

Internet
Social Media
Drove By
Referred By

* It is the responsibility of the parent/guardian to update contact information with the front desk accordingly.