Smart PDF Form

FOR OFFICE USE ONLY:

Interviewed: __________________ Accepted on: _____________

Grade: _________________________ Teacher: _________________________
Strickland Christian School Application for Enrollment 2026-2027
STUDENT' FULL NAME:

First NameLast Name
Preferred Name:
Street Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Main ph #:
Format: (000) 000-0000.
Date of Birth:

MonthDayYear
Date
Age (as of Sept. 30, 2026)
MaleFemale
Full Day1/2 Day
NoYesIf yes until when:____________
Both ParentsMother OnlyFather OnlySomeone Other than Parent
If your family is new to Strickland, please provide the name of the person who referred you to us and your reason for applying:
Information that could be helpful to our faculty in working with your child:
Previous School Attended:
City:
State:
Zip:
Siblings attending Strickland School in the same school year: Name:
Grade:
Name:
Grade:
Name:
Grade:
Name:
Grade:
PARENTS OR GUARDIANS
NAME:
Relationship:
Church Affiliation:
Occupation:
Company Name:
Cell Phone:
Format: (000) 000-0000.
Work Phone:
Format: (000) 000-0000.
Main E-mail:
example@example.com
Name:
Relationship:
Church Affiliation:
Occupation:
Company Name:
Home Address (If different from above):

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Cell Phone:
Format: (000) 000-0000.
Work Phone:
Format: (000) 000-0000.
Alternate E-mail:
example@example.com
IN THE CASE OF AN EMERGENCY WHEN PARENTS CANNOT BE REACHED, CONTACT:
Name:
Relationship:
Phone #1:
Format: (000) 000-0000.
Phone #2:
Format: (000) 000-0000.
Address:
Should be Empty:

Strickland Christian School Application for Enrollment 2026-2027

PARENTS OR GUARDIANS

IN THE CASE OF AN EMERGENCY WHEN PARENTS CANNOT BE REACHED, CONTACT: