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PARENT INFORMATION


Father's Name:		Mother's Name:
Father's Address:		Mother's Address:
Father's City/State/Zip:		Mother's City/State/Zip:
Father's Employer:		Mother's Employer:
Father's Work Phone:		Mother's Work Phone:
Father's Home Phone:		Mother's Home Phone:
Father's Cell Phone:		Mother's Cell Phone:
Father's Email:		Mother's Email:
Father's Talents/Hobbies:		Mother's Talents/Hobbies:
Child Resides With:	Both Parents Mother Father Other
Send Corresondence To:	Both Parents Mother Father Other

STUDENT INFORMATION


Child 1		Child 2
Name:		Name:
Birth Date:		Birth Date:
Allergies:		Allergies:
Grade Entering:		Grade Entering:
Gender:	Male Female	Gender:	Male Female
School Last Year:		School Last Year:

Child 3		Child 4
Name:		Name:
Birth Date:		Birth Date:
Allergies:		Allergies:
Grade Entering:		Grade Entering:
Gender:	Male Female	Gender:	Male Female
School Last Year:		School Last Year:

GRANDPARENT INFORMATION


Paternal Grandparents		Maternal Grandparents
Names:		Names:
Address:		Address:
City/State/Zip:		City/State/Zip:
Phone:		Phone:

CHURCH INFORMATION


Home Church:		How Long A Member?
Do you claim Jesus Christ as your personal Lord and Savior?			Yes No

COMMITMENT SECTION


You have read the school handbook and agree to comply with all school policies?			Yes No
You will be active in your child's education here by encouraging study habits, turning in assignments on time, test preparation, respecting the teacher, volunteering/helping with school needs, remaining faithful to your tuition commitment, attending school events, promptly reading and responding to all school correspondence, and enduring punctual and faithful attendance?			Yes No


By submitting this application online, I certify that this application is correct. I understand my financial commitment and the dates payments are due, and I agree to faithfully meet my obligations to the school. I have read, understand, and agree with the school's guidelines and policies in the appropriate handbook.

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