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Silver Creek Adventist School Application Form
New Student
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* Indicates required question
Email
*
Your email
Student's Legal Name (First, Middle, Last):
*
Your answer
Student's Birthdate:
*
MM
/
DD
/
YYYY
Home Address:
*
Your answer
Home Phone:
*
Your answer
Student Living with:
*
Both Parents
Father
Mother
Guardian
Grandfather
Grandmother
Other:
Name & Address of Last School attended:
*
Your answer
Race/Ethnicity:
*
Asian
Black
Caucasian
Hispanic
Other:
Grade Level:
*
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
Required
Language:
*
English
Spanish
Other:
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