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Registration Form
Standish Baptist Academy 2020-2021
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* Indicates required question
Student's Full Name
*
Your answer
Registration Fee Selection
*
$40 Registration (After Memorial Day)
Enrollment
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New Enrolment
Re-Enrollmet
Grade to Enter
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Pre-K
K
1
2
3
4
5
6
7
8
9
10
11
12
Do we need to request student records from another school?
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Yes
No
If so, which school?
Your answer
Physical Address with city, state, and zip
*
Your answer
Age
*
Your answer
Date of Birth (month-day-year)
*
Your answer
Father's Name
*
Your answer
Father's Employer
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Your answer
Employer's Phone Number
*
Your answer
Mother's Name
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Your answer
Mother's Employer
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Your answer
Employer's Phone Number
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Your answer
Has your child ever failed a grade?
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Yes
No
If so, which grade?
K
1
2
3
4
5
6
7
8
9
10
11
12
Clear selection
Primary Email Address
*
Your answer
Additional Family Email Address (if applicable)
Your answer
Students Email Address (if applicable)
Your answer
Child's Physician
*
Your answer
Physicians Contact Info
*
Your answer
Church that the student is attending
*
Your answer
Pastor's Name
*
Your answer
Emergency Contact if parents cannot be reached (Name and Cell #)
*
Your answer
I understand and agree with the policies of Standish Baptist Academy, including those regarding discipline, finances, and church attendance. I give permission for my child to attend required activities off the school property.
*
I agree
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