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
Student's Gender
Student's Ethnicity (Check all that apply.)

Other
Address

Street Address

Street Address Line 2

CityState / Province

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

With whom does the child live?

Other
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.
Do you receive texts at this number?
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.
Do you receive texts at this number?
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
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Application Fee
$185.00

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
Mother's E-Signature
Today's Date

MonthDayYear
Date
How did you find us?

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