911 Address (if different from mailing)
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)
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.