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  • Student Information

    To be completed by parent
  • All questions are MANDATORY. Please write the words NONE if the question does not apply to your student.

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  • Parent Information

    To be completed by parent
  • All questions are MANDATORY. Please write the words NONE if the question does not apply to your student.

  • Contact Information

    To be completed by parent
  • All questions are MANDATORY. Please write the words NONE if the question does not apply to your student.

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  • Student's Academic Information

    To be completed by parent
  • All questions are MANDATORY. Please write the words NONE if the question does not apply to your student.

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  • Student's Behavioral Information

    To be completed by parent
  • All questions are MANDATORY. Please write the words NONE if the question does not apply to your student.

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  • Other Information

    To be completed by parent
  • All questions are MANDATORY. Please write the words NONE if the question does not apply to your student.


  • Student Questions

    To be completed by student
  • All questions are MANDATORY. Please write the word NONE if the question does not apply to your student.




  • Student's Spiritual Life

    To be completed by student
  • All questions are MANDATORY. Please write the words NONE if the question does not apply to your student.

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  • Signatures

    To be signed by parent and student.
  • All questions are MANDATORY. Please write the words NONE if the question does not apply to your student.

  • Parent / Guardian:

    The above information is true and correct to the best of my knowledge. I willingly waive my right of access to see the rec- ommendations when completed. Upon acceptance of my student, I hereby agree to accept all rules and regulations of the school and authorize the school to administer such disciplinary measures as may be deemed necessary and proper by the Administration. I agree to pay tuition and such fees as are chargeable according to the current schedule of Tuition and Fees.

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  • Student:

    If I am accepted as a student at Whittier Christian High School, I promise to abide by the rules of the school and to use my influence to protect the good name of the school, its buildings and property. The above information is true and correct to the best of my knowledge.

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  • Application Fee

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