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Parent/Guardian Enrollment Form
Student Information
Student Full Legal Name:
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Date of Birth:
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Month
Day
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Age:
Grade:
School:
Parent/Guardian Information
Parent/Guardian Name:
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Relationship to Student:
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Emergency Contact
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Authorized Pick-Up Persons
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Medical Information
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Parent Vision & Expectations
What do you hope your child gains most from participating in Divine Excellence Leadership Academy?
What are your child's greatest strengths?
What areas would you like your child to improve?
Confidence Leadership
Communication
Etiquette
Public Speaking Goal Setting
Self-Discipline
Social SkillsFinancial Responsibility Other
Is there anything staff should know about your child?
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