Information Request

Please complete this form to receive a School Information Packet.

Student Information

First Name:
Nickname:  
Middle Name:  
Last Name:  
Gender:  
Entering Grade:  
Entering Year:  
Current Grade:  
Current School:  
     

Personal Interests

What are your Special Interests?  
Performing Arts Travel
Visual Arts Reading
Music Animals
Outdoor Activities
Sport(s)
If Sport(s) which ones?  
Favorite subject(s)  
 

Parent Information

Parent 1 Salutation:  
Parent 1 First:  
Parent 1 Last:  
Parent 2 Salutation:  
Parent 2 First:  
Parent 2 Last:  
     

Mailing Address Information

Parent Address 1:  
City:  
State/Province:  
Zip:  
Country:  
 
Parent Address 2:  
City:  
State/Province:  
Zip:  
Country:  
 

Contact Information

Contact Information:  
 
 
Email Address:  
 
 
 
How did you hear about Alexander Dawson?  
Website Periodical
Radio Friend
Expo/Open House Camp
Mailing Other
If Other Please List
 
Reason You Have Contacted Dawson?  
Definitely Changing Schools
Considering Changing Schools
Curious
 
Comments/Notes: