Application For Admission
(Select
program: 20-week program - $495.00 or 10-week program -$350.00)
Name of Student 1 Last_______________________________ MI____ First_____________________________
Name of Student 2 Last_______________________________ MI____ First_____________________________
Name of Parent 1 Last________________________________ MI____ First______________________________
Name of Parent 2 Last________________________________ MI____ First_____________________________
Address 1______________________________________________________________________________
Address 2______________________________________________________________________________
City_______________________________ ST____ ZIP CODE___________
Telephone: Home______________ Work_______________ Cell_______________
1 Date of Birth____/____/____ Age_____
2 Date of Birth____/____/____ Age_____
Name of School 1__________________________________________________________________________
Name of School 2__________________________________________________________________________
How did you find about DFI?
_______________________________________________________________________________________
_______________________________________________________________________________________
Signature____________________________________ Date____/____/____
Signature____________________________________ Date____/____/____
*Payment Plan is Available
*Parents must present completed application and Tuition fee at registration.