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APPLY NOW
ALL items listed below must be completed and turned in together with your registration packet and fee paid, in order for your child to enter the classroom on the first day of school.
New Student Registration
First
Middle
Last
Grade Entering
Street Address
City
State
Zip
Race/Ethic Group
Gender
Citizenship
Place of Birth
Date of Birth
Baptized Seventh-day Adventist?
Phone
Primary language spoken at home
Social Security Number
Mother/Legal Guardian First
Mother/Legal Guardian Last
Mother/Legal Guardian Middle
Preferred Name
Send
New Student Registration
Student Name
Grade Entering
Street Address
City, State, Zip
Date of Birth
Place of Birth
Gender
Male
Female
Primary Language Spoken at Home
Parent/Legal Guardian Information
Mother's Name
Father's Name
Parent Email
Emergency Contact
Medical Information
Does the student have any allergies?
Current Medications
Family Doctor
Consent to Treatment
By submitting this form, I consent to necessary medical treatment for my child in case of emergency.