COPYRIGHT 2018 DT PREPARATORY ACADEMY

(850) 418-6390   8440 Ashland Ave, Pensacola, FL 32534

Thank you for your interest in DT Preparatory Academy. Please complete this form to receive more information about our school and allow us to get to know you better. Some information is required and marked with asterisks (*). Any additional information you provide will be used to complete your admission application later in the process. 

We value your privacy. This information will not be shared or sold to any third party.

Student's Information

Student's Information

Family information

Mother's/Gaurdian Information

Father's/Gaurdian Information

Student lives with :

Both Parents

Mother

Father

Other

Correspondence

Both Parents

Mother

Father

Other

Current Medical Information

Do You Have your Child's current immunization record?

If no, Please be aware you will have to provide a written statement from a legally qualified physician as to why the child is not immunized

Yes

No

Registration Policy

To register your student we require:

1. A copy of your Childs birth certificate or passport as proof of age.

2. A recent immunization form

3. A copy of your child's up to date school entry exam/school physical

4. Any progress reports or education assessments that are available

As parent(s)/ guardian(s), we would like to enroll our child at DT Preparatory Academy

I consent to the collection, use and disclosure of personal information in respect of and on behalf of myself/ourselves and my/our child, which may be collected, used and disclosed as necessary for the purposes of providing education and other services, students records and administrative purposes related to DTPA and as otherwise required by law.

BY CLICKING THIS BOX I AM AGREEING TO THE STATEMENT ABOVE

I AGREE