Summit View Adventist School
12503 S. State Route 7
Lee's Summit, MO 64086
APPLICATION FOR ADMISSION
Name of Applicant (First, Middle, Last)
Date of Birth (Month-Day-Year)
Gender of Applicant
Grade applying for
Pre-K applicants only: What days are you registering for?
Monday through Friday (8:00 a.m. to noon)
Monday, Wednesday, Friday (8:00 a.m. to noon)
Tuesday, Thursday (8:00 a.m. to noon)
Applicant lives with? (please check all that apply)
Father is deceased
Mother is deceased
Parents are divorced
Parents are separated
Is applicant proficient in speaking English?
Siblings Names and Ages
Never submit passwords through Google Forms.
This form was created inside of Summit View Adventist School.
Terms of Service