2024/2025 JCS Cedar Cove Application
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Email *
Student Last Name *
Student First Name *
Parent Name (s): *
Phone Number: *
Student Birthdate *
MM
/
DD
/
YYYY
Full home address (Street #, Name, City, Zip Code): *
Grade applying for(Grade entering Fall 2024): *
Program Option *
Are you currently enrolled in another JCS school? (JCS MO, LIVE, Pine Hills, Pine Valley) or does the applicant have a currently enrolled sibling?   *
Does your child have any of the following?
Check all that apply.
*
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