Admission Application
Des Moines Christian School
How many children are you considering enrolling?
1
2
3
4
For which school year?
18-19
19-20
Student Name
*
First Name
Middle Name
Last Name
Preferred Name (nickname)
Sex
*
Male
Female
Grade Entering
*
2 year-old (full time)
3 year-old (half day)
3 year-old (full day)
4/5 year old (half day)
4/5 year old (full day)
Kdg
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
Date of Birth
*
-
Month
-
Day
Year
Date
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Schools/Preschools attended previous to DMCS
*
enter N/A if no previous schools attended
Student 2 Name
*
First Name
Middle Name
Last Name
Student 2 Preferred Name (nickname)
Student 2 Sex
*
Male
Female
Student 2 Grade Entering
*
2 year-old (full time)
3 year-old (half day)
3 year-old (full day)
4/5 year old (half day)
4/5 year old (full day)
Kdg
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
Student 2 Date of Birth
*
-
Month
-
Day
Year
Date
Student 2 Address
*
Same as previous student
Different mailing address
Student 2 Street Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Student 2 Schools/Preschools attended previous to DMCS
*
enter N/A if no previous schools attended
Student 3 Name
*
First Name
Middle Name
Last Name
Student 3 Preferred Name (nickname)
Student 3 Sex
*
Male
Female
Student 3 Grade Entering
*
2 year-old (full time)
3 year-old (half day)
3 year-old (full day)
4/5 year old (half day)
4/5 year old (full day)
Kdg
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
Student 3 Date of Birth
*
-
Month
-
Day
Year
Date
Student 3 Address
*
Same as previous student
Different mailing address
Student 3 Street Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Student 3 Schools/Preschools attended previous to DMCS
*
enter N/A if no previous schools attended
Student 4 Name
*
First Name
Middle Name
Last Name
Student 4 Preferred Name (nickname)
Student 4 Sex
*
Male
Female
Student 4 Grade Entering
*
2 year-old (full time)
3 year-old (half day)
3 year-old (full day)
4/5 year old (half day)
4/5 year old (full day)
Kdg
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
Student 4 Date of Birth
*
-
Month
-
Day
Year
Date
Student 4 Address
*
Same as previous student
Different mailing address
Student 4 Street Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Student 4 Schools/Preschools attended previous to DMCS
*
enter N/A if no previous schools attended
Mother's Full Legal Name
*
First Name
Middle Name
Last Name
Are you a DMCS alumni?
*
Yes
No
Mother's Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Mother's Preferred Email Address
example@example.com
Mother's Mobile Phone Number
*
-
Area Code
Phone Number
Mother's Home Phone Number
*
-
Area Code
Phone Number
Mother's Church Home
*
Mother's Pastor's Name
*
First Name
Last Name
How did you hear about DMCS?
*
*
*
Why do you wish to enroll your student at DMCS?
*
Which most closely relates to your relationship with Jesus Christ at this moment?
*
I have accepted Christ as my personal savior.
I have not made a personal decision to accept Christ as my savior.
Please briefly share about your relationship with Jesus Christ.
*
How are you following Christ today?
*
Father's Full Legal Name
*
First Name
Middle Name
Last Name
Are you a DMCS alumni?
*
Yes
No
Father's Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Father's Preferred Email Address
example@example.com
Father's Mobile Phone Number
*
-
Area Code
Phone Number
Father's Home Phone Number
*
-
Area Code
Phone Number
Father's Church Home
*
Father's Pastor's Name
*
First Name
Last Name
How did you hear about DMCS?
*
*
*
Why do you wish to enroll your student at DMCS?
*
Which most closely relates to your relationship with Jesus Christ at this moment?
*
I have accepted Christ as my personal savior.
I have not made a personal decision to accept Christ as my savior.
Please briefly share about your relationship with Jesus Christ.
*
How are you following Christ today?
*
Submit
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