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Admissions
Employment
Support KBA
Contact
Enrollment Inquiry
Home
About
Admissions
Employment
Support KBA
Contact
Enrollment Inquiry
Admissions Application
Step
1
of
4
25%
Student Information
Student Name
(Required)
First
Last
Student Date of Birth
MM slash DD slash YYYY
Student Gender
Male
Female
Grade Level Applying For
Current School
Parent Information
Parent 1 Name
(Required)
First
Last
Email 1
(Required)
Phone 1
(Required)
Parent 1 Occupation
Parent 2 Name
First
Last
Email 2
(Required)
Phone 2
(Required)
Parent 2 Occupation
Parent Address
(Required)
Street Address
Address Line 2
City
State
ZIP / Postal Code
Home Church
(Required)
Medical Information
Allergies
Medical Conditions
Medications
Emergency and Authorizations
Emergency Contact Name
First
Last
Emergency Contact Phone
Authorized persons to pick child up with their names and phone numbers
Transportation Consent
I agree to field trip transportation
All field trip permissions for KBA to take their child to and from the field trip
Photo Release Consent
I agree to photo release.
Photo release to use child’s photo in advertising, flyers, etc.
Signature
(Required)
Name
This field is for validation purposes and should be left unchanged.
