Request for Information

In order to help us support you best, please tell us a little bit about your family!

Parent Information

Parent/Guardian's First Name

Parent/Guardian's Last Name

Parent/Guardian's Email

I would like to set up a Divine Savior Academy Admissions Account. This will allow me to log in and easily continue and track my admissions process.

Set up my account

Parent Birthdate (we use this to setup your account)

Parent/Guardian's Mobile Phone

Do we have permission to text this number?

What campus are you interested in?

If other, please explain

How many children are interested in attending Divine Savior?

Student 1

Student's First Name

Student's Last Name

Student's Preferred Name (if different from Legal First Name)

Student's Date of Birth

School Year to Enroll

Grade Level Interested In

Program Interested In

Student 2

Student's First Name

Student's Last Name

Student's Preferred Name (if different from Legal First Name)

Student's Date of Birth

School Year to Enroll

Grade Level Interested In

Program Interested In

Student 3

Student's First Name

Student's Last Name

Student's Preferred Name (if different from Legal First Name)

Student's Date of Birth

School Year to Enroll

Grade Level Interested In

Program Interested In

Student 4

Student's First Name

Student's Last Name

Student's Preferred Name (if different from Legal First Name)

Student's Date of Birth

School Year to Enroll

Grade Level Interested In

Program Interested In

Student 5

Student's First Name

Student's Last Name

Student's Preferred Name (if different from Legal First Name)

Student's Date of Birth

School Year to Enroll

Grade Level Interested In

Program Interested In