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New Student

Application Form

Emerson Academy - Application Form

501 Hickory St. Dayton, OH 45410
937-223-2889 emersonacademyofdayton@nhaschools.com

Do you have questions before you start? Check out our What to Expect page.
School Year
Applying for school year:
Please select a school year.
Parent/Guardian 1
Please enter a valid phone number.
Add Secondary Phone Number
Add Address Line 2
Child 1's Information Child's Information
Does this child reside at Parent/Guardian 1's address? A child must live at a residence at least 50 percent of the time to be considered “residing” at that address.
Terms & Conditions
acknowledge that I am the parent or legal guardian of the child(ren) being applied for and I am the one completing this form. In addition, by checking the box below, I have read and agree to the Terms and Conditions.
This field is required.
By signing below, I acknowledge that I am the parent or legal guardian of the child being applied for and I am the one completing this form. In addition, by checking the box below, I have read and agree to the Terms & Conditions on the following pages.

This field is required.
Download a printable version of the application.