New Student Application 2022-23
Please complete this form if you desire whole-hearted elementary education for your child(ren) at Pleasant Hill Christian School.  A family interview and placement testing will follow review of your application.  Thank you for applying.
  - ALSO REQUIRED FOR ALL NEW STUDENTS: FINANCIAL AGREEMENT
  - ALSO REQUIRED FOR ALL NEW K ONLY: COPY OF CERTIFIED BIRTH CERTIFICATE, REPORT OF HEALTH FOR
    SCHOOL ENTRY, PROOF OF IMMUNIZATION, ORAL HEALTH ASSESSMENT
 - IF TRANSFERRING FROM ANOTHER SCHOOL WE WILL ASK YOU TO SIGN A REQUEST FOR RECORDS
 - REGISTRATION FEE OF $150 (PER CHILD)
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Email *
New Student Information
Student Full Name *
Student Age *
Date of Birth *
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Grade Entering *
Place of Birth *
Home Address *
Home Phone Number *
Parent Email *
Child Living With *
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