James Valley Christian School Early Education Enrollment Application

James Valley Christian School 7-12 New Student Enrollment Application

2026-27 School Year
Parent, please provide the following information.
Student's Full Name*
First, Middle, Last
Home Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
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
Parent's Name*

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 Address*

Street Address

Street Address Line 2

CityState / Province

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

Student, please provide the following information.
Do you know Jesus Christ as your personal Savior? If yes, please tell about this experience.*
What church are you affiliated with?
Why do you desire to attend JVCS?*
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.
Student E-Signature*

Clear
Should be Empty:

James Valley Christian School 7-12 New Student Enrollment Application