Application/Registration 2018-2019

Primary Parent Information
* First Name 
* Last Name 
* Relationship 
* Email 
* Address 
* City 
* State 
* Zip 
  Cell Phone 
  Home Phone 
  Work Phone 
* Preferred Phone 

Parent/Guardian #2 Information
  First Name   Last Name 
  Relationship    Email 
  Address   City 
  State    Zip 
  Cell Phone 
  Home Phone 
  Work Phone 

  • Application and Registration fees are non-refundable.
  • Geneva reserves the right to dismiss any child for whom we are unable to meet his/her needs.
  • I hereby make application for my child for one full academic school year in Geneva Day School.
  • By signing below, I agree to the above.
* Preferred Payment Option 
A processing fee will be added to all Credit Card transactions.
* Academic Year 
* Parent/Guardian Signature 
* Date 

Additional Information
Parent/Guardian is... 
an active member of Geneva Presbyterian Church.  
an active member of an area Presbyterian Church.  
a current Geneva Day School staff member.  
active U.S. military.  

How Did You Hear about Us?
* Indicate 

Registered Child(ren)

To register your child(ren), please click Add Child.

Privacy Policy
We keep your personal information private and secure. When you make a payment through our site, you provide your name, contact information, payment information, and additional information related to your transaction. We use this information to process your payment and to ensure your payment is correctly credited to your account.

Contact Us: Geneva Day School •• 11931 Seven Locks Road, Potomac, MD 20854 •• 301.340.7704 ••

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