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Pastor Reference Information

Student(s) Last Name*

If multiple, list oldest student first

Answer required for "Student(s) Last Name"

Student(s) Legal First Name*

If multiple, list oldest student first

Answer required for "Student(s) Legal First Name"

Grade Level(s) applying for *

If multiple, list oldest student first

Answer required for "Grade Level(s) applying for "

Parent Name(s)*

Last Name, First Name

Answer required for "Parent Name(s)"

Name of Church*

Answer required for "Name of Church"

Name of Pastor or Church official*

Answer required for "Name of Pastor or Church official"

Email address for the Pastor or Church official listed above*

Answer required for "Email address for the Pastor or Church official listed above"

Blackhawk Christian School does not discriminate on the basis of race, color, sex, nationality, or ethnic origin in its admission, education, financial, or employment policies.