Contact Information
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Email *
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Family Last Name *
Parent/Guardian #1 Name and Address
Parent/Guardian #1 Relationship to Student
Parent/Guardian #1 Phone Number and Cell Number
Parent/Guardian #1 Employers Name, Address, and Phone Number
Parent/Guardian #1 Email
Parent/Guardian #1 Call Order
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Parent/Guardian #2 Name and Address
Parent/Guardian #2 Relationship to Student
Parent/Guardian #2 Phone Number and Cell Number
Parent Guardian #2 Employers Name, Address and Phone Number
Parent/Guardian #2 Email
Parent/Guardian #2 Call Order
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Emergency Contact #1 Name and Address
Emergency Contact #1 Phone Number, Work Number and Cell Number
Emergency Contact #1 Relationship to Student
Emergency Contact #2 Name and Address
Emergency Contact #2 Phone Number, Work Number and Cell Number
Emergency Contact Relationship to Student
Name of Family Doctor and Phone Number
I give my permission to include our name, phone number, address in the school directory.
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I am interested in volunteering at the school in the following ways:
Student #1 Legal Name
Student #1 Current Grade
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Student #1 Grade to be enrolled.
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Student #1 Ethnicity
Student #1 Date of Birth
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Student #1 Lives with(check all that apply):
Student #1 Medical Brief(if applicable):
Student #1 School of Origin(your district public school)
Student #1 Present School and address
Student #1 Church and address
Student #2 Legal Name 
Student #2 Current Grade
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Student #2 Status
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Student #2 Gender
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Student #2 Ethnicity
Student #2 Date of Birth
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Student #2 Place of Birth
Student #2 Lives with(check all that apply)
Student #2 Medical Brief(check in applicable)
Student #2 School of Origin(your district public school)
Student #2 Current School and Address
Student #2 Current Church and address
We understand and fully appreciate that the course of instruction offered by St. John's School is very important to our child. In addition to the courses prescribed by the public school system, it also offers our child invaluable Christian training. In order to accomplish this, St. John's School must have the cooperation of the home. We therefore pledge our full and active support to the Faculty and Board of Day School Education in carrying out the Christian philosophy and objectives of St. John's School and promise to do the following #1 We pledge that we will set our child and example of Christian living by regular attendance at Church services, and by putting to practice what we learn and know to be the will of God. #2 We will accept the faculty of St. John's School as God's representatives while our child is at school, even as we are God's representatives to our child; and to support school discipline and to set our child a good example of respect for his/her teacher. #3 We agree to pay all fees and charges on time, meet our financial obligations to the church, and feel it our responsibility to attend PTL meeting.
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