Required Items/Admissions Forms:
q Birth Certificate
q Social Security Card
q Photo I.D.
q Current Physical
q Insurance Card
q Medical Records
q School Records
q Shot Records
q Family Photo
q Assessment Summary
q Admissions Contract (notarized)
q Power of Attorney (notarized)
q Contact Form (with emergency numbers)
q A signed copy of Discipline Policies
q A signed copy of child abuse procedures
q Tuition Payment
Please check off the list and make sure that all items are included in the package you send to us by Fed-Ex service, or UPS including this signed page!
_________________________________
By my signature I testify that the enrollment
Package is complete!
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ABM
Ministries Assessment Summary |
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Date: |
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Student
Name: |
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Date of
Birth: |
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Age: |
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Home
Phone: |
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Work
Phone: |
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Church
Affiliation: |
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Pastor's
Name: |
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Telephone
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Medical
History: |
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Please
list any medications the student is currently taking. |
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Hobbies/Interests: |
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Parent/Legal
Guardian Name/s and Address/es: |
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Print Name |
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Print Name |
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Address |
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Address |
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City, State |
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City, State |
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Zip Code |
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Zip Code |
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If
student lives at a different address from above, list below. |
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