Calvary Baptist School 1-12年级入学申表.pdfVIP

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CALVARYBAPTISTSCHOOL1−12GRADE

ENROLLMENTAPPLICATION

1380S.ValleyForgeRoad,Lansdale,PA19446

215-368-1100ext.102

ReceivedBy/Date:__________/__________

Check#(Cash)Amount:__________/__________

ProcessedBy/Date:__________/__________

Trans.Req.Submitted:__________/__________

Reg:__________Cur:__________Reo:__________

Ref:__________Sch:__________Spr:__________

Stat:__________

ApplicationDate:June30th,2015

StartDate:

Student’sName:TianTianLastFirst

Sex:M*F

Address:Room1006theJingguangCenterCommercialBuilding,Hujialou,District

Chaoyang,Beijing86-010

BirthDate:May6th,1999Birthplace:Hebei

Citizenship:USAOtherChinese

Gradeapplyingfor:10Lastgradesuccessfullycompleted:10

Childcareneeded(grades1-6)?YesNoChildcareformsareavailableintheschooloffice.

School/Childcarelastattended:

Phone:

•Hasthisstudenteverbeenaskedtorepeatanygradelevel?▫

NoIfyes,whichgradelevel?

•HasthisstudenteverattendedCalvaryBaptistSchool?

□YesNo

Ifyes,whatgrade?

CanyourecallatimewhenyouacceptedJesusChristasyourpersonalSavior?

Father:

Yes

Mother:

Yes

No

Student:

Yes

No

FamilyChurch

Name

Address

•DoesthischildregularlyattendSundayschool?▫Yes▫No

HowdidyouhearofCalvaryBaptistSchool?

Mailing

Sign

YellowPages

□Newspaper

OpenHouse

□Friend:

Other

WZGROUPLLC

•Withwhomdoesyourchildreside?

SchoolDistrict:

TransportationRequestformmustbecompletedandsubmittedwiththisapplication.

E-mailaddressyouwouldlikeusedforcommunicationsfromschool:

pterz@

FATHER(orlegalguardian):

NameTianShuangliang

SSNumber

Employer

WorkPhone

CellPhone86-010

MaritalStatusmarried

•Hasthischildeverbeendismissedfromanyschoolorchildcare?

MOTHER(orlegalguardian):

NameZ