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Thank you for your interest in Hillel Academy of Greater Dayton!

Please fill out the form below, and our Admissions Office will contact you shortly to provide additional information regarding your request.

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Parent / Guardian Information
  • First Parent / Guardian
  • First Name *
  • Last Name *
  • Salutation
  • Email Address *
  • Confirm Email Address *
  • Work Phone
  • Cell Phone *
Home Address
  • Street Address
  • City
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  • How Did You Hear About Us? *
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  • Student 1
  • First Name *
    Last Name *
  • Birthdate *
    (mm/dd/yyyy)
    Gender
  • Grade Level of Interest *
    School Year *
  • Current School
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  • Is There Another Student?
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  • Parent / Guardian Notes
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