Jubilee Christian School - Admissions Packet pg.2

Jubilee Christian School admits students of any race, color, national and ethnic origin to all the rights, privileges, programs, and activities generally accorded or made available to students at the school. It does not discriminate on the basis of race, color, national and ethnic origin in administration of its educational policies, admissions policies, scholarship and loan programs, and athletic and other school-administered programs

Jubilee Christian School ~ 255 Washington Road, Mt. Lebanon, PA 15216
Phone: 412-561-5917 ~ Fax: 412-561-2857
E-Mail: judi.phelps@jubileechristianschool.org

Student #2 continued:
Reason for Leaving last School:
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Has this student even been suspended for disciplinary reasons?	Yes No
Has this student ever been expelled from school?	Yes No
Does this student have any physical, emotional, learning, or mental disability, which may impact his or her ability to function in school? (if yes, please explain)		Yes No
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Student #3:
Student's Full Name:		Birth Date: / /
Birth Certificate Number:		Age:	years old
Sex Male Female	Entering Grade: grade	School attended last year:
Reason for Leaving last School:
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Has this student even been suspended for disciplinary reasons? Yes No		Has this student ever been expelled from school? Yes No
Does this student have any physical, emotional, learning, or mental disability, which may impact his or her ability to function in school? (if yes, please explain)			Yes No
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Information for Kindergarten Student*
Pre-School program attended:
Additional Activities your child attends (story hour, swimming, music lessons, gymnastics, etc.)
By what name is your child usually called?