DOMINICO-AMERICANO SCHOOL (CDA)
Pre-Registration Form
LAST NAME(S)
NAME
DATE OF BIRTH
DAY
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3
4
5
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7
8
9
10
11
12
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14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
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31
MONTH
JANUARY
FEBRUARY
MARCH
APRIL
MAY
JUNE
JULY
AUGUST
SEPTEMBER
OCTOBER
NOVEMBER
DECEMBER
FATHER'S NAME
PLACE OF WORK
TELEPHONE
MOTHER'S NAME
PLACE OF WORK
TELEPHONE
ADRESS(HOME)
TELEPHONE
PARENT'S EMAIL
EXCELLENT
GOOD
REGULAR
NONE
Child's English proficiency
Father's English proficiencY
Mother's English proficiency
Language spoken at home
Previous School
Grade requesting admission to