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Registration
Registration for Grades K-8
School Year
*
2023-2024
2024-2025
Registration For:
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Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
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Today's Date
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Child's Name
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First
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Last
Address
*
Street Address
City
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Primary Email
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Date of Birth
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Baptized
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Church
Family Information
Father/Guardian
*
First
Last
Address
*
Street Address
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
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New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Cell Phone
*
Email
*
Church Membership at:
*
Mother/Guardian
*
First
Last
Address
*
Street Address
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Cell Phone
*
Email
*
Church Membership at:
*
Other Children in the Family:
*
Please provide the following information for the other children in the family: •Name •Date of Birth •School Now Attending •Church where Baptized
Child lives with:
*
Parents
Father
Mother
Other
Please Explain
FOR KINDERGARTEN ONLY: I understand that there is a nonrefundable $50 registration fee due at the time of registration. Payment can be dropped off in the office or mailed to school.
*
Yes
No
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