Summit View Adventist School
12503 S. State Route 7
Lee's Summit, MO 64086
816 -550-5867
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APPLICATION FOR ADMISSION
New Student
Name of Applicant (First, Middle, Last)
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Date of Birth (Month-Day-Year)
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Gender of Applicant
Grade applying for
Pre-K applicants only: What days are you registering for?
Address
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Applicant lives with? (please check all that apply)
Is applicant proficient in speaking English?
Siblings Names and Ages
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