Student Application

Name

This field is for validation purposes and should be left unchanged.

ENROLLMENT APPLICATION

Student Information

Grade applying for*

School year applying for*

Student Social Security #*

Full legal name of student*

First Middle Last Nickname

Sex*

Date of birth*

Place of birth*

Are you a new student and/or entering kindergarten or 1st grade*

KACS must verify the birthday for child entering kindergarten or 1st grade, and all new incoming students. Select which form of documentation you are providing.

Birth Certificate

Hospital statement

Notarized statement

Passport or visa

Upload birth day supporting document

Max. file size: 150 MB.

Household and Family Information

Student living with:*

Father

Mother

Stepfather

Stepmother

Grandparent

Other

Other (please specify):

Home address*

Street Address Address Line 2 City State ZIP Code

Parent/legal guardian demographics*

Legal name (first, last)

Domination affiliation

Church where membership is held

Languages used at home

Occupation

Work phone

Cell phone

Email

Typing your name below serves as your electronic acknowledgment for all permissions and policies in this form. Complete for each parent/legal guardian. Click the plus sign to add additional people.

Church and Religious Affiliation

Is the student's parent/legal guardian a member of the Seventh Day Adventist Church?*

Yes

No

Indicate church where membership is held

Is this student a baptized member of the Seventh Day Adventist Church?*

Yes

No

Indicate church where membership is held

Indicate year baptized

If student has other church affiliation, specify

Previous Education

Name of school last attended, if not KACS:

Phone of school last attended:

Address of school last attended:

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Other children (17 yrs and younger) in the family:

Name

Sex (M/F)

Age

Living at home (Y/N)

School child is attending

Special Needs and Academic Considerations

Has this student been previously identified as qualifying for a special education program?*

Yes

No

If yes, what kind?

When?

Where?

By Whom?

If so, state where

Financial Information

Registration Fees are Non-refundable.

Will the student recieve funding from Texas Education Freedom Accounts (TEFA) for the 2026-2027 school year?*

Yes

No

If yes is selected, please be sure to select KACS in your Odyssey Account

Should financial statements be given to anyone else other than the parent/legal guardian?

Yes

No

Name*

Phone*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email*

School Policies and Agreements

Consent to Treatment

Only designated staff will have access to the completed form. This form will be stored in a locked file. This form must be filled out at the beginning of each school year to cover the activities for the school year. A copy of each student’s form will be taken on off-campus activities, such as field trips.

Student Name*

First Last

Student Age*

Student Date of birth*

Please describe allergies to substances and medication. If none, please write none:

If on regular medication, please specify. If none, please write none:

Date of last tetanus shot*

Please give the name of your local family physician(s) to be called in case your son or daughter becomes ill or has an accident at school and you cannot be reached.*

First Last

Phone*

Hospital preference

Hospital Phone

Hospital Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Please give the names of two relatives or friends who have consented to assume the responsibility of your son or daughter in case of illness or accident until you can be reached. In case of any changes in the named persons, notify the school in writing.

Name*

First Last

Phone*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Name*

First Last

Phone*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Student Authorized Pickup Form

Student Information – Oldest Child Enrolled:

Oldest Student Name*

First Last

Mother or legal guardian cell phone*

Father or legal guardian cell phone*

Emergency Contact*

Legal name (first, last)

Relationship to student(s)

Cell phone

Complete for each parent/legal guardian. Click the plus sign to add additional people.

This form also applies to the student’s other KACS siblings as follows:

Name

First Last

Name

First Last

Name

First Last

Name

First Last

Authorized to Pickup your child with appropriate Photo ID:

Name (First and Last)

Relationship to student(s)

Cell Phone

GENERAL PARENT CONSENT FORM FOR SCHOOL-SPONSORED FIELD TRIP

This permission slip is valid for the the below student and indicated school year for the purpose of taking child named below on various field trips in the Katy / Houston area. It is understood that a separate permission slip will be given prior to each field trip, and that this general form will be used only in the absence of the specific field trip consent form that names destination and has parent / legal guardian signature.

This permission slip is valid for the below school year*

I hereby give permission for my child, or ward to go on the field trip with the KACS staff.*

First Last

Student Application

Student Registration Forms

ENROLLMENT APPLICATION

Student Information

Household and Family Information

Church and Religious Affiliation

Previous Education

Special Needs and Academic Considerations

Financial Information

School Policies and Agreements

Consent to Treatment

Please give the names of two relatives or friends who have consented to assume the responsibility of your son or daughter in case of illness or accident until you can be reached. In case of any changes in the named persons, notify the school in writing.

Student Authorized Pickup Form

This form also applies to the student’s other KACS siblings as follows:

GENERAL PARENT CONSENT FORM FOR SCHOOL-SPONSORED FIELD TRIP

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