FAMILY APPLICATION FOR ADMISSION
All information must be provided for an application to be considered complete .
Father ' s Name : _________________________________________________________________
( first ) ( last )
Father ' s Address : ______________________________________________________________
( Street ) ( City , State , Zip )
Father ' s Telephone : Home ________________________ Work _______________________
Father ’ s Cell Phone : _____________________________ Father ' s Employer : _____________________________________________________________ Father ’ s Email Address : _________________________________________________________
Mother ' s Name : __________________________________________________________________
( first ) ( last )
Mother ' s Address : ______________________________________________________________
( Street ) ( City , State , Zip )
Mother ' s Telephone : Home ________________________ Work _______________________
Mother ’ s Cell Phone : _____________________________ Mother ' s Employer : _____________________________________________________________ Mother ’ s Email Address :_ ________________________________________________________
Please attach a written letter of explanation if you would NOT like your name and address included in the school directory .
What is the marital relationship in your home ? Marital Status : __________________________ Child ( ren ) resides with : �Both Parents �Mother �Father �Legal Guardian
All Children in the Family Applying for Admission : Name Birth Date School Year Grade
__________________________________ _______ ____________ ________ __________________________________ _______ ____________ ________ __________________________________ _______ ____________ ________ __________________________________ _______ ____________ ________ __________________________________ _______ ____________ ________
Name of Church : _____________________________________ Denomination : ___________ Church Address ________________________________________________________________ City , State , Zip : ________________________________________________________________ Telephone : _______________________________ Pastor : ____________________________
� Not affiliated with a Christian church at this time .
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