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Thank you for your interest in Covenant Day School!

Please complete this short form and our Admissions Office will be in touch right away.

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Parent / Guardian Information
  • First Parent / Guardian
  • Last Name *
  • First Name *
  • Salutation
  • Email Address *
  • Cell Phone
    (Ex: 999-999-9999)
  • Second Parent / Guardian
    (leave blank if not applicable)
  • Last Name *
  • First Name *
  • Salutation
  • Email Address *
  • Cell Phone
    (Ex: 999-999-9999)
Home Address
  • Street Address *
  • City *
  • Country *
  • State *
  • Zip *
  • How Did You Hear About Us?
    Details:
  • How can we help you today?

  •  
  • Student 1
  • First Name *
    Last Name *
  • Birthdate *
    (mm/dd/yyyy)
    Gender *
    Male    Female
  • Grade Level of Interest *
    School Year *
  • Student Interests
  • Current School
  • Please indicates areas of interest for your student.

  •  
  • Is There Another Student?
    Yes No
  •  
  • Parent / Guardian Notes
  •