2016-2017 New and Returning Family Application

Please submit one application for each child applying and supply all information requested.

Re-enrolling families will be accepted first, and on March 1st new families will begin to be enrolled. However, everyone may fill out the application at any time.

Question Title

* 1. Child Name (Last, First, Middle)

Question Title

* 2. Gender

Question Title

* 3. Grade Entering

Question Title

* 4. Child's Date Of Birth (mm/dd/yy)

Question Title

* 5. Age

Question Title

* 6. Child's SS# (only used for official records, transcripts, and scholarship registration)

Question Title

* 7. Parent/Guardian #1 Contact Information

Parent #1 Name

Relationship (mother, father, legal guardian, grandparent, etc.)

Parent #1 E-Mail Address (required for school communication)

Parent #1 Home Phone

Parent #1 Cell Phone (text alerts will come to this number)

Parent #1 Physical Address

Parent #1 Mailing Address (if different)

Question Title

* 8. Parent/Guardian #2 Contact Information

Parent #2 Name

Relationship (mother, father, legal guardian, grandparent, etc.)

Parent #2 E-Mail Address (required for school communication)

Parent #2 Home Phone

Parent #2 Cell Phone (text alerts will come to this number)

Parent #2 Physical Address (if different than Parent #1)

Parent #2 Mailing Address (if different than Parent #1)

Question Title

* 9. Please list all persons permitted to pick up your child at school or to contact for emergencies

Person 1 Name, Relationship, and Phone

Person 2 Name, Relationship, and Phone

Person 3 Name, Relationship, and Phone

Person 4 Name, Relationship, and Phone

Question Title

* 10. Name, City, State of Last School Attended

Question Title

* 11. Special Learning Needs (to help with initial placement)

Question Title

* 12. If child will be on scholarship, please indicate below:

Question Title

* 13. Has your child already obtained approval for the above scholarship?

Question Title

* 14. If your child is a McKay student, please write the SS# of the primary parent on the McKay account.

Question Title

* 15. Does your family regularly attend church? If so, what church?

Question Title

* 16. Medical Information

List any allergies your child may have.

List any other known medical conditions your child may have.

Name any medications your child must take while at school.

May the office administer an appropriate dose of acetominophen or iboprofen if necessary?

Primary Care Physician

Primary Insurance Name

Question Title

* 17. Has there been a point in his/her life when this child accepted Christ Jesus as their Savior?

Question Title

* 18. Please checkmark which extracurricular activities in which your child is interested (check all that apply).

Girls' JV or Varsity Volleyball (grades 6-12)

Boys' Varsity Soccer (grades 7-12)

Girls' JV or Varsity Basketball (grades 6-12)

Boys' JV or Varsity Basketball (grades 7-12)

Boys' Intramural Elementary Basketball (grades 2-6)

Drama

Creative Writing

Spelling Bee

Music

Visual Arts

Academic Quiz Bowl (grades 6-12)