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Applicant Lives With*
Relationship to Applicant*
Type of Father
Father Name
First Last
Father Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Father Home Phone
Father Work Phone
Father Cell Phone
Father Email
Father Church Membership
Enter Your Church Name, City, and State
Father Employer
Father Employer Address
Type of Mother
Mother Name
First Last
Mother Address
Street Address Address Line 2 City State ZIP Code
Mother Home Phone
Mother Work Phone
Mother Cell Phone
Mother Email
Mother Church Membership
Enter Your Church Name, City, and State
Mother Employer
Mother Employer Address
Type of Legal Guardian
Legal Guardian Name
First Last
Legal Guardian Address
Street Address Address Line 2 City State ZIP Code
Legal Guardian Home Phone
Legal Guardian Work Phone
Legal Guardian Cell Phone
Legal Guardian Email
Legal Guardian Church Membership
Enter Your Church Name, City, and State
Legal Guardian Employer
Legal Guardian Employer Address
List Other Children In Family
Please enter Name, Date of Birth, Gender, Age, Grade, School Attending

Send Financial Statements to:*
Send Grades to:*
Applicant Contract:*
- I have read and am in full harmony with the ideas and standars set forth in this school's most recent bulletin. I, with the help of God and my parents/guardians, will order my personal living and conduct in harmony with these principles, and my name typed below pledges my cooperation and loyalty if admitted as a student.
Applicant Name*
First Last
Parent/Guardian Contract:*
- I agree to the condition herein stated and am in harmony with the regulations and policies as stated in the school's most recent bulletin. My financial obligation are clearly understood and I agree to pay the applicant's account each month, unless arranged otherwise in advance and I further agree to wait for a transcript of grades until the applicant's account is paid in full upon termination from school. I further understand that if any information given on this application is intentionally incorrect the result can be the immediate withdrawal of the applicant from the school. To the best of my knowledge, the questions have ben answered honestly and the applicant will cooperate with the principles, and practices, and spirit of the school.
Parent/Gaurdian Name*
First Last
Signature