Student Application Kindergarten-Grade 8

This field is for validation purposes and should be left unchanged.

Student Information

MM slash DD slash YYYY
Full Legal Name of Student*
Sex
MM slash DD slash YYYY
A document to verify the birth date of a Kindergarten, Grade 1, and new students is required. Please indicate which you will submit*

Emergency Contact Information

Student living with*
Home Address*
Mailing Address*
Name of Legal Guardian 1*
Address*
Name of Legal Guardian 2
Address

Seventh-day Adventist Sponsored Students

Is this student sponsored by an Adventist church member?
Is this student a baptized member of the Adventist church?
MM slash DD slash YYYY

School Last Attended

Address

Other Children

Name of Child 1
Sex
Name of Child 2
Sex
Name of Child 3
Sex