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The June Buchanan School Application

The June Buchanan School Application

Applicant Information

Name
Name
First
Middle
Last
Mailing Address
Mailing Address
City
State/Province
Zip/Postal
911 Address (if different from mailing)
911 Address (if different from mailing)
City
State/Province
Zip/Postal
Sex
Parents are
Applicant Resides with
Has the applicant ever had academic, disciplinary (suspension/expulsion), or social problems in school?
Does the applicant have any physical, medical, or learning disabilities? (asthma, epilepsy, dyslexia, auditory, visual, reading, psychological, etc.)

Previous School(s) Attended (List current school first and give complete information)

Father's Information

Father's Address
Father's Address
City
State/Province
Zip/Postal

Mother's Information

Mother's Address
Mother's Address
City
State/Province
Zip/Postal

Emergency Contact

Other Children of School Age

Applicants in Grades 6-12

Please check the activities you would like to pursue at JBS.
Please check the activities in which you have participated.