James Valley Christian School K-6 New Student Enrollment Application

James Valley Christian School K-6 New Student Enrollment Application

2026-27 School Year
Student's Full Name*
First, Middle, Last
Parent's Name*

First NameLast Name
Please select which grade the student will be entering.*
Student's Birthday*
MaleFemale
Hispanic/LatinoAsianWhiteAfrican AmericanAmerican IndianOther
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Please indicate names and ages of siblings below.

Both ParentsMotherFatherOther
Father's Name*
Father's Address (if different than above)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email Address*
Phone Number*
Format: (000) 000-0000.
YesNo
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

CityState / Province

Postal / Zip Code
Email Address*
Phone Number*
Format: (000) 000-0000.
YesNo
Cell Phone Carrier*
Required in order to receive texts when school is cancelled or starts late.
Emergency Contact*
Other than parents.
Emergency Contact's Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Emergency Contact's Phone Number*
Format: (000) 000-0000.

Please list the names, dates of attendance, and addresses of schools attended other than JVCS.*
What church are you affiliated with?
Has your child made a profession of salvation? If yes, please tell about this experience.*
Why do you desire to have your child attend JVCS?*

My Products*
prevnext( X )
Application Fee
$200.00

Total

$0.00
While it is difficult to arrive at community values with which we all agree, we ask you to abide by the standards that have been set forth by the administration, faculty, and governing board of our school. It is our prayer that we as a school will maintain a good witness and testimony while working in harmony with one another.
Father's E-Signature*

Clear
Mother's E-Signature*

Clear
Today's Date*

MonthDayYear
Date
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If you were referred by a friend please let us know who, so we can thank them!
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