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High Five Christian Academy
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Student Application
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Guardian Full Name
(Required)
Relation Between Guardian and Student
(Required)
Optional Second Guardian Full Name
Email
(Required)
Who's email is this?
(Required)
Guardian 1
Guardian 2
Other
Optional Second Email
Emergency Phone
(Required)
Who's phone is this?
(Required)
Guardian 1
Guardian 2
Other
Optional Emergency phone two
Optional emergency phone three
Expected financial status of guardians this semester.
(Required)
What semesters are you singing the student up for
(Required)
The ongoing semester
Next semester
The semester after that
Student Full Name
(Required)
Student Gender
(Required)
Student Birthday
(Required)
Year
Month
Day
Last Grade Student Completed
(Required)
Academic Level of Students Previous Work
(Required)
Semester style
(Required)
If student has ever failed an academic subject in school explain:
If student has ever been expelled, dismissed, suspended, or refused admission to another school, explain:
If student has ever had disciplinary difficulty at school explain:
If student has a juvenile or arrest record explain:
If student ever used tobacco or nonprescription drugs of any kind explain:
Guardian 1 Signature
(Required)
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