New Student Application Form New Student Application FormStudent InformationChild's Legal Name* Child's First Name Middle Child's Last Name Gender*MaleFemaleHome Address* Street Address City State / Province / Region ZIP / Postal Code Home Phone*Email* Date of Birth (mm/dd/yyyy)*Place of Birth*Grade applying for*KindergartenGrade 1Grade 2Grade 3Grade 4Grade 5Grade 6Grade 7Grade 8Last school attended*Does the student attend church?*YesNoIf yes, where?*Lives with*both parentsmotherfatherstepmotherstepfatherotherParent/Guardian #1 InformationName* First Last Relationship to child*Occupation*Work Phone*Cell Phone*Email Address* Texting?*YesNoMailing address* Same as above Street Address City State / Province / Region ZIP / Postal Code Parent/Guardian #2 InformationName* First Last Relationship to child*Occupation*Work Phone*Cell Phone*Email Address* Texting?*YesNoMailing address* Same as above Street Address City State / Province / Region ZIP / Postal Code Family InformationSibling’s Information*NameAgeGradeSchool Attending Additional InformationHas the student ever been recommended for special education?*YesNoIf yes, please explain*Has the student been previously identified as qualifying for a gifted education program?*YesNoIf yes, please explain*Billing Address* Check if same as mailing address Street Address City State / Province / Region ZIP / Postal Code Registration Fee Price: $150.00 Registration fee of $150 needed via check (payments made to: Chowchilla Adventist School and given to principal) or mailed to: 22310 Road 13, Chowchilla, CA 93610) or cash given to the principal to reserve your child's spot.
