DAJA is a ministry of the Decatur Seventh - PDF document

1 D.A.J.A. is a ministry of the Decatur Se
D.A.J.A. is a ministry of the Decatur Seventh - day Adventist Church • Search Facebook: DAJA for more information. 2584 Young Road, Stone Mountain, GA 30088 • (o) 770.808.2188 • (f) 770.808 - 2181 • www.dajaschool.org DECATUR ADVENTIST JUNIOR ACADEMY Certified as a School of Excellence since 2009 PRE - REGISTRATION APPLICATION (Kindergarten — Gra de 10 ) Thank you for your interest in Decatur Adventist Junior Academy (DAJA)! In order to reserve a space for your child/children, kindly fill out the form below and submit into the front office. *In addition, an on - line enrollment application must be completed for all new students & an on - line returning student application for returning students. A non - refundable, pre - registration fee of $100.00 made payable to DAJA is required with your application. The preregistration fee will be deducted from the Fall Regist ration fees if paid prior to May 31 , 202 1 Placement will be made on a first come basis . If an application is submitted without the required pre - registration fee the prospective applicant is not officially registered, whereby allowing incoming students w ith payment to be placed ahead of your child's application. PLEASE COMPLETE ALL OF THE REQUESTED INFORMATION BELOW NAME OF APPLICANT ________________________________________ AGE _______ D.O.B.________ ADDRESS ___________________________________________________________________________________ (Street Address) (City/State) (Zip code) TEL.# ________________________________________ 202 1 - 202 2 GRADE LEVEL ______________ MOTHER'S NAME: ____________________ ________________________________________________________ ADDRESS, if different (Please include zip code) EMAIL ______________________________________________TEL.# _____________________________ FATHER'S NAME ___________________ ____________________________________________________ ADDRESS, if different ____________________________________________________________________________ (Please include zip code) EMAIL ______________________________________________TEL.# _____________________________ ** What is your church affiliation ? ________________________ ________________________________________ ** If a constituent or non - constituent, the name of your church : ______________________________________________ TO BE COMPETED BY OFFICE PERSONNEL Indicate if Pre - registration fee is paid: □ YES □ NO Date Pre - registration fee paid : _____________ ________ Amount $_______________ □ Cash □ Check_______________ □ M/O. □ Debit/Credit ___________________ Name of person accepting Pre - registration payment : __________________________________________________ NEW STUDENTS ONLY : All new students must complete an on - line Application prior to enrollment. Formal acceptance is based upon completion of: (1) An on - line application, (2) Admissions Committee Review, and (3) Student Assessment/Testing. Incoming applicants will be notified of their acceptance. **TUITION RATES : All parents are required to provide proof of church membership if requesting the Constituent (Decatur) or Non - Constituent (Non - Decatur) tui tion rate.