2018-2019 Pre-K Admission Application

Assalamu Alaikum. Welcome to Silicon Valley Academy! All of the following documents are required before admission can be granted for your child. Please let us know if you have any question or need assistance with this process.

Student Enrollment Checklist:
 Online Application.
 Tuition agreement form.
 Parents' agreement form.
 Birth Certificate.
 Copy of immunization record.
 Copy of physician's report.
 Volunteer agreement form.
 Two volunteer checks $200.00 each post-dated for January 15, 2019 and June 14, 2019.
These checks will only be cashed if 15 volunteer hours are not completed by January 15, 2019 and 15 volunteer hours are not completed June 15, 2019.
 Registration fee of $250.00 for new families. $150 for returning families if re - enrolled before February 16, 2018
(non-refundable).
 Maintenance fee of $200.00 /family due at the time of registration (non-refundable)
 Materials fee of $400/student post-dated for May 1, 2018 (non-refundable)
 Tuition payment post-dated July 1, 2018 or 10 post-dated checks starting July 1, 2018– April 1, 2019

SVA does not discriminate on the basis of color, ethnic background, national origin, color, race, religion or gender

Email address *
Enrollment Form *
Grade *
Required
Student's Last Name *
Your answer
Student's First Name *
Your answer
Birth Date *
MM
/
DD
/
YYYY
Student's Middle Initial
Your answer
Age *
Your answer
Gender *
Student's Place of Birth *
City or County
Your answer
State or Country *
Your answer
Home Address *
Your answer
City *
Your answer
State *
Your answer
Zip *
Your answer
Home Phone Number *
Your answer
Student Lives With *
Are Siblings Currently Attending SVA *
Sibling 1 Name and Grade
Your answer
Sibling 2 Name and Grade
Your answer
Sibling 3 Name and Grade
Your answer
Father's Last Name *
Your answer
Father's First Name *
Your answer
Father's Middle Initial
Your answer
Address
If different from Student
Your answer
State
Your answer
Zip
Your answer
Employer's Name *
Your answer
Occupation *
Your answer
Work Phone *
Your answer
Cell Phone *
Your answer
Email *
Your answer
Mother's Last Name *
Your answer
Mother's First Name *
Your answer
Mother's Middle Initial
Your answer
Address
If different from Student
Your answer
State
Your answer
Zip
Your answer
Employer's Name
Your answer
Occupation *
Your answer
Work Phone
Your answer
Cell Phone *
Your answer
Email *
Your answer
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