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Request Information

Thank you for your interest in our school!

Please fill out the form below and our Admissions Office will contact you and provide the information you desire.

* Indicates a required field.

Parent / Guardian Information
  • First Parent / Guardian
  • Last Name *
  • First Name *
  • Middle Name
  • Salutation
  • Email Address *
  • Gender
    Male    Female
  • Work Phone
    (Ex: 999-999-9999)
  • Cell Phone
    (Ex: 999-999-9999)
  • Second Parent / Guardian
    (leave blank if not applicable)
  • Last Name *
  • First Name *
  • Middle Name
  • Salutation
  • Email Address *
  • Gender
    Male    Female
  • Work Phone
    (Ex: 999-999-9999)
  • Cell Phone
    (Ex: 999-999-9999)
Home Address
  • Street Address
  • City
  • Country
  • State
  • Zip
  • Home Phone
    (Ex: 999-999-9999)
  • How Did You Hear About Us? *
    Details:
  •  
  • Student 1
  • First Name *
    Middle Name
    Last Name *
  • Birthdate *
    (mm/dd/yyyy)
    Gender
    Male    Female
  • Grade Level of Interest *
    School Year *
  • Current School

  • Please send your child/children most recent school report card to our Academic Director, Mrs. Lori Hill at lhill@sjdrschool.org.
  •  
  • Is There Another Student?
    Yes No
  •  
  • Parent / Guardian Notes
  •