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  • New Student Application Form

New Student Application Form

Application for Admission

Step 1 of 3 – Student and Parent/Guardian Information

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This field is for validation purposes and should be left unchanged.
Student Name*
MM slash DD slash YYYY
Name of student's current or most recent school
Select the grade level the student will be starting in
Parent/Guardian Name*
Parent/Guardian Email Address
Home Address*
Additional Parent/Guardian
Second Parent/Guardian Name
Second Parent/Guardian Email Address
Please upload: Birth certificate and/or passport. This can be turned in after application has been accepted.
Drop files here or
Max. file size: 20 MB.
    Any allergies, medications, or medical conditions we should know about
    Please describe any learning differences or special accommodations needed
    Please provide name, relationship, and phone number
    Photo and Media Release
    School photography and media permissions
    Programs & Activities
    Select additional programs your child may be interested in (fees may apply)
    Enrollment Contract*
    SCHOOL ENROLLMENT CONTRACT

    This agreement is entered into between Omaha Memorial Adventist School and the Parent/Guardian listed above.



    TERMS AND CONDITIONS



    1. ENROLLMENT: Student enrollment is confirmed upon receipt of completed enrollment form, signed application, and payment of enrollment fees.


    2. ACADEMIC YEAR: The academic year runs from August through May. Students are expected to attend regularly and participate fully in the academic program.


    3. TUITION AND FEES: Tuition and fees are due according to the payment schedule provided. Late payments may result in additional fees and potential suspension of enrollment privileges.


    4. POLICIES: Families agree to abide by all school policies including but not limited to: academic standards, disciplinary procedures, dress code, and attendance requirements as outlined in the Student Handbook.


    5. HEALTH AND SAFETY: Parents must provide accurate medical information and emergency contacts. Students must comply with all health and safety protocols.


    6. WITHDRAWAL: A written notice is required for student withdrawal. Tuition refunds follow the school’s established refund policy.


    7. LIABILITY: The school maintains appropriate insurance coverage. Parents acknowledge understanding of school liability limitations as detailed in the Student Handbook.


    8. COMMUNICATIONS: Parents agree to maintain current contact information and respond to school communications in a timely manner.


    9. MODIFICATIONS: This contract may only be modified in writing with mutual agreement from both parties.


    10. GOVERNING LAW: This agreement is governed by the laws of the state in which the school is located.


    By confirming and signing below, I acknowledge that I have read, understood, and agree to all terms and conditions of this enrollment contract.

    Please sign to acknowledge agreement to the enrollment contract terms
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    Payment Plan
    Please select a payment plan

    Omaha Memorial Adventist® School

    840 N 72nd St, Omaha, NE 68114-3241
    402-397-4642
    office@omahamemorialadventistschool.org
    • About Us
    • School Staff
    • School Calendar
    • Gallery
    • New Student Application Form
    • Tuition Pay/Donations
    • School Supplies 

    Provided by the North American Division and Adventist Connect.

    Copyright © 2026 North American Division Corporation of Seventh-day Adventists.

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