Please complete the following form.  Copy it and mail it to the school along with the $25 testing fee or email the form and send your check to the school.

Evaluation & Recommendation Permission  
  

     Student Name 
      Present Grade        Age      Birthdate 
      Parent Name    
      Address 
      City           State      Zip 
      Phone  

      Church Membership    
      Pastor or Elder      Phone 
      
      Current School 
      City                Zip    
      Phone 
      Teacher Name   
      Principal Name 

        

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The Yakima Adventist Christian School student evaluation will include a telephone interview with the student's last teacher and principal.

I give my permission for a representative of the Yakima Adventist Christian School student 
evaluation committee to contact my child's school for academic, behavioral, and other 
information that will help teachers better understand the needs of my child.

   Parent/Guardian Signature 
   Date