Child Under 5 Application

Child under 5 Application

Child's Name

First

Last

Preferred name, if different from legal name

Mother's Name Used on their Student Application (if Father is the only registered student use Father's Name)

First

Last

Mother's Email used on their Student Application

School of Parent

Interested Year

Child's Gender

Child's Birthdate

Child's Country of Citizenship

Which languages do you speak and how fluent are you in each of them?

Health information

Please list any allergies the child has. N/A if none.

Please list any physical limitations the child may have. N/A if none.

Does the child have any dietary needs? If yes please explain, N/A if none.

Questionnaire

How do you feel about coming to YWAM Chico? (If age appropriate, if not N/A)

Describe your relationship with your family (If age appropriate, if not N/A)

Describe your past/current relationship with Jesus? (If age appropriate, if not N/A)

Is there anything else you think we should should know?

Photo, Passport and Visa Information

The files that you upload in this section will not be saved until you submit your application so make sure you are ready to submit this application before you upload the files. You can return at a later date to this application and upload the images then.

If you have any questions, call our Registrar at +1 (530) 893-6750 ext 201 or email schools@ywamchico.com

Please upload a photo of yourself

Maximum file size: 134.22MB

Do you have a passport?

If you have one, please upload a copy of the photo info page of your passport.

Maximum file size: 134.22MB

If you are not a US citizen, do you have a visa?

If applicable, please upload a copy of your current USA visa.

Maximum file size: 134.22MB

Privacy Information

By checking this box I am agreeing to YWAM Chico's privacy policy.

Date Applied

If you are human, leave this field blank.