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
YesNo
List medications for which child(ren) frequency, and condition
YesNo
List each allergy and treatment for each student
YesNo
Provide dates and reasons for each child(ren)
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
YesNo
If yes, please list your child(ren)’s name and provide additional information
YesNo
If yes, please list your child(ren)’s name and provide additional information
Statement of Accuracy & Consent

(Checkbox — REQUIRED)
YesNo
YesNo
YesNo
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