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Heartland Christian Academy 101 Nations Blvd. Bethel, MO 634349742 Phone: 6602846300 Fax: 8168170391 ___Application for Admission 20222023ENROLLMENT DATE (MM/DD/YY): ___ WITHDRAWN DATE :___ (office use only) Full Name:___ ENTERING GRADE:___ Home Address: ___ Street___/___/___ CityStatePhone Number: ____________Zip CodeSocial Security NumberBirthdate:___Age: ___Email:___ Which parent should receive communication?MotherFatherGuardianEitherParent or Guardian
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