Enterprise Seventh-day Adventist School

Enterprise | OR
Application
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Application
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 APPLICATION FOR ADMISSION

School Year: _____________

 
New students are required to present proof of date of birth and all students must provide proof of current immunizations.
 
STUDENT INFORMATION
 
Full legal name ______________________________________________________________
 
Mailing Address _____________________________________________________________
 
Physical Address (if different) __________________________________________________
 
Phone __________________ Age _____________ Entering grade _____________________
 
Date of birth ________________________Place of birth ____________________________
 
School previously attended  ___________________________________________________
 
Church preference  __________________________________________________________
 
 
PARENT INFORMATION
 
Father’s name _________________________ Occupation ____________________________
 
Mailing Address ____________________ Physical Address ___________________________
 
Home Phone _____________________         Work Phone __________________________
 
Cell Phone _______________________         E-mail_______________________________
 
Mother’s name ________________________ Occupation ____________________________
 
Mailing Address ____________________ Physical Address ___________________________
 
Home Phone _______ _______________       Work Phone_________________ ________
 
Cell Phone  _______________________        E-mail_______________________________
 
 
IN CASE OF EMERGENCY
 
Name______________________________ Phone ____________________________________
 
Physician __________________________ Phone_____________________________________
 
 
Commitment
 
I have read the policies governing the Enterprise SDA Church School and will cooperate with them. I accept responsibility for my financial commitment of $_______ monthly. Registration fee is $150.00, per student, and is payable at registration.  Each month’s commitment is to be paid by the second week of each month, September through May. 
Please make checks payable to: Enterprise SDA
 
 
 
_______________________________________________                                  ____________________
                         Signature of parent                                                                                     Date
 
 
New Student
References 1. ________________________________________________________________
 
                    2. ________________________________________________________________
                 
                    3. ________________________________________________________________