NEWBURGH CHRISTIAN SCHOOL DOES NOT DISCRIMINATE ON THE BASIS OF RACE, COLOR, NATIONAL OR ETHNIC ORIGIN
This application does not guarantee acceptance. Please refer to our enrollment policy. The application fee of $125.00 may be paid online.
Student Information: Please select-----> Applying for grade: Kindergarten 1st 2nd 3rd 4th 5th 6th 7th 8th 9th 10th 11th 12th First Name Goes by Middle Name Last Name Gender Male Female Date of Birth Address of Student City State Zip Name of Father Home phone Employer Business phone cell phone Name of Mother Home phone Employer Business phone cell phone Status of Parents marrieddivorced separated other Please specify Student lives with mother father both parents Email where a parent may be reached regularly
Emergency contact best contact number(s) School last attended Reason for selecting Newburgh Christian School Family attends which church? Does the student understand the plan of salvation? yes no Are the Parents/Guardians born again? Father yes no Mother yes no
