New Student Application

Full Legal Name Date of Birth Home Address Contact Info Religion

Student Lives With

Send Grades Send Correspondence Responsible for Account

Full Name Relationship to Student Address Home Phone Work Phone Cell Phone Other Phone Email Address: Employer Work Address Occupation *Driver’s License Number/State Church Affiliation Citizenship

Secondary Contact

Send Grades Send Correspondence Responsible for Account

Full Name Relationship to Student Address Home Phone Work Phone Cell Phone Other Phone Email Address: Employer Work Address Occupation *Driver’s License Number/State Church Affiliation Citizenship

Other Contact

Send Grades Send Correspondence Responsible for Account

Full Name Relationship to Student Address Home Phone Work Phone Cell Phone Other Phone Email Address: Employer Work Address Occupation *Driver’s License Number/State Church Affiliation Citizenship

Responsible Party: I agree to the conditions herein stated, and am in harmony with the regulations and policies as stated in the Student Handbook and will cooperate with the principles and spirit of Thunderbird Adventist Academy.

My financial obligation is clearly understood. I agree to pay this account in full when due. Should I fail to pay within 30 days of the due date, I understand that TAA reserves the right to charge interest at the rate of 1% per month on the past due amount, and I agree to pay that interest should I be required to do so. I further understand that an official transcript or diploma is not available until this account is paid in full.

Full Legal Name Grade 8 Grade 9 Grade 10 Grade 11

Have you ever been:	When:	Please Explain:
Traunt
Suspended
Expelled
Arrested
Convicted
On Probation
Have you ever used:	When:	Please Explain:
Tobacco
Illegal Drugs
Alcohol

Why do you want to attend Thunderbird Academy?

Student Agreement: I have read the Student Handbook and it is my choice to attend Thunderbird Adventist Academy. If accepted as a student, I agree to willingly obey all printed and announced regulations, including dress code, and understand that any failure to do so may jeopardize my enrollment at Thunderbird Adventist Academy. I agree to have any wages earned from TAA applied to my account.