James Valley Christian School Early Education Enrollment Application
2026-27 School Year
Please Select your Preferred Session
*
Half day (8:15 - 11:30 Monday - Friday) The half-day fee is $392/month and $55/month for lunch starting August 15.
Full day (8:15 - 3:30 Monday - Friday) The full-day fee is $651/month and $55/month for lunch starting August 15.
There is a non-refundable fee due with this application. Please indicate half day or full day below.
*
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Application Fee
for half-day applications
$120.00
$
120.00
Application Fee
for full-day applications
$185.00
$
185.00
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Student's Name
*
Student's Birthday
*
Home Phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
Student's Gender
*
Male
Female
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
With whom does the child live?
*
Both Parents
Mother
Father
Other
Father's Name
*
Father's Address (if different than above)
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email Address
*
Phone Number
*
Format: (000) 000-0000.
Do you receive texts at this number?
*
Yes
No
Cell Phone Carrier
*
Required in order to receive texts when school is cancelled or starts late.
Mother's Name
*
Mother's Address (if different than above)
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email Address
*
Phone Number
*
Format: (000) 000-0000.
Do you receive texts at this number?
*
Yes
No
Cell Phone Carrier
*
Required in order to receive texts when school is cancelled or starts late.
Who will transport your child to and from school?
*
If someone other than those listed will be picking up your child, it is mandatory that you let the school know.
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Emergency Contact (other than parents)
*
Other than parents.
Phone Number
*
Format: (000) 000-0000.
Emergency Contact Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Family Doctor
*
Phone Number
*
Format: (000) 000-0000.
Daycare Provider
Phone Number
Format: (000) 000-0000.
What church are you affiliated with?
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Please list names and ages of siblings.
Has your child attended any other preschool? If yes, please tell us which one.
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Does your child show hand dominance?
*
Left
Right
Unknown
Does your child have any allergies
*
No
Yes
If yes, please explain.
Does your child have any special condition that we need to be made aware of?
Is there any other information you would like us to know?
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Please click yes if you WILL give permission for your child to be taken on field trips.
*
Yes
No
E-Signature
*
Today's Date
*
-
Month
-
Day
Year
Date
How did you find us?
Sign
Flyer
Google/Other search engine
Facebook or Instagram
Friend
Other
If you were referred by a friend please let us know who, so we can thank them!
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