Registration : Laurel Oaks Adventist® School Hamden CT

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Registration

General Information

Today's Date

Student's Name

D.O.B

Age

Grade Entering

Last School Attended

Number of Years in school:

Address

Church School:

Yes No

Public School:

Yes No

Home School:

Yes No

Child Baptized?

Yes No

Church Membership:

Family Information

Mother/Guardian Name

Mother's Maiden Name

Occupation:

Home Address

Phone

Email

Father/Guardian Name

Occupation:

Address

Phone

Email

Church affiliation (if different)

Who will be responsible for payment of tuition and registration fees?

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