Grande Ronde Christian Academy Application Form 2026-2027

Grande Ronde Christian Academy Application Form 2026-2027

Christ-Centered ~ Academic Excellence ~ Character Building
“Growing tomorrow’s leaders through Biblical truth and learning.”

Complete this form to apply for the upcoming school year
Student Full Name*

First NameLast Name
Date of Birth*

MonthDayYear
Date
Student Gender*
Grade Applying For*
Previous School Name
Additional Student Full Name

First NameLast Name
Additional Student Gender
Additional Student Date of Birth

MonthDayYear
Date
Additional Grade Applying For
Previous School Name
Additional Student Full Name

First NameLast Name
Additional Student Date of Birth

MonthDayYear
Date
Additional Student Gender
Additional Grade Applying For
Previous School Name
Parent/Guardian Full Name*

First NameLast Name
Relationship to Student*
Parent/Guardian Full Name

First NameLast Name
Relationship to Student
Parent/Guardian Email Address*
example@example.com
Parent/Guardian Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Parent/Guardian Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Home Address*

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
List of Two or More Emergency Contact Names and Phone #
Medical Information & Authorization 2026-27
Student Name*
Student Name
Student Name
Medical Authorization
Doctor Name
Doctor Address
Doctor Phone Number
Medical Information
Does this child(ren)take prescription medication regularly?

YesNo
List medications for which child(ren) frequency, and condition
Does this child(ren)s have any allergies?

YesNo
List each allergy and treatment for each student
Has this child(ren) been hospitalized within the past year?

YesNo
Provide dates and reasons for each child(ren)
Has your child(ren) ever been treated for any nervous, mental, or emotional disorder?

YesNo
Provide doctor/facility name and dates of care for each child
If yes, please list your child(ren)’s name and explain
School History
Has the applicant ever been dismissed from school or repeated a grade?

YesNo
If yes, please list your child(ren)’s name and provide additional information
Learning Support / IEP / 504

YesNo
If yes, please list your child(ren)’s name and provide additional information
Statement of Accuracy & Consent

(Checkbox — REQUIRED)
I certify that all information provided in this application is true, accurate, and complete to the best of my knowledge. I understand that any false or misleading information may result in denial of admission or dismissal from Grande Ronde Christian Academy.

YesNo
I understand that Grande Ronde Christian Academy is a Christian School and agree to support and uphold the school’s vision including its mission, core values and statement of faith.

YesNo
I give permission for my child to participate in school activities and authorize the school to take appropriate action in case of emergency as outlined in this application.

YesNo
By submitting this application, I understand that my student’s enrollment at Grande Ronde Christian Academy is not final until all admissions requirements have been completed. These requirements may include, but are not limited to, an interview with school staff, student placement testing, and submission of all required forms and documentation.

Agree
Parent/Guardian Signature
Signature (Typed Name)
MonthDayYear
Date
Signature (Typed Name)
Date

MonthDayYear
Date
Statement of Non-DiscriminationGrande Ronde Academy admits students of any race, color, or national and ethnic origin to all the rights, privileges, programs, and activities generally accorded to made available to students at the school. We do not discriminate on the basis of race, color, or national and ethnic origin in the administration of our educational policies, scholarships, athletics, or any other school administered program.

Acknowledged
Should be Empty:

Grande Ronde Christian Academy Application Form 2026-2027

“Growing tomorrow’s leaders through Biblical truth and learning.”

Medical Information & Authorization 2026-27

Medical Authorization

Medical Information

School History

Statement of Accuracy & Consent

Parent/Guardian Signature