Student Name
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First Name
Last Name
Student Address
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City, State, Zip Code
*
Birth Date
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MM
DD
YYYY
Birth Place
*
Student Gender
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Male
Female
Grade Enrolling
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Two-Year-Old
Preschool
3-day Pre-Kindergarten
5-day Pre-Kindergarten
Kindergarten
First Grade
Second Grade
Third Grade
Fourth Grade
Fifth Grade
Sixth Grade
Seventh Grade
Eighth Grade
School last attended (please include city and state)
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Grade last attended
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Has the student ever been dismissed, suspended, or disciplined
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Yes
No
If yes, please explain.
Do you suspect your child may have any learning disabilities or academic challenges? If yes, please explain.
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Parent/Guardian #1 Name
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First Name
Last Name
Relation of Parent/Guardian #1
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Mother
Father
Other
Parent/Guardian #1 Address
*
City, State, Zip Code
*
Parent/Guardian #1 Phone
*
(###)
###
####
Parent/Guardian #1 Email
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Parent/Guardian #1 Employer & Full Address
*
Parent/Guardian #1 Work Phone
*
(###)
###
####
Parent/Guardian #2 Name
First Name
Last Name
Relation of Parent/Guardian #2
Mother
Father
Other
Parent/Guardian #2 Address
City, State, Zip Code
Parent/Guardian #2 Phone
(###)
###
####
Parent/Guardian #2 Email
Parent/Guardian #2 Employer & Full Address
Parent/Guardian #2 Work Phone
(###)
###
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Why do you desire to enroll your child in Valley Christian School?
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Do you need before and aftercare?
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Yes
No
Do you attend church? If so, what is the name of your church?
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How did you hear about us?
*
By checking the box below, the parent/guardian agrees to the following and understands that checking the box constitutes a legal signature:
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In making this application,
1. I understand that the administration has full responsibility for grade and classroom placement of my child.
2. I understand that the teacher has full discretion in the classroom discipline of my child.
3. I understand that my cooperation is expected in faithful involvement in both time and money including regular tuition payment.
4. I understand that the school reserves the right to dismiss any student who does not respect its spiritual standards or cooperate in the education process.
5. I understand that my child will participate in all regularly scheduled school activities and field trips.
6. I have read the Admissions Policy and agree with it.
7. I have read the Statement of Faith and agree with it.
8. I desire to have my child trained in accordance with the Statement of Faith.
9. I certify that this information is true and complete to the best of my knowledge.
10. I have read the financial policies and agree to completely fulfill all financial obligations to Valley Christian School. Valley Christian School does not discriminate on the basis of race, color, national or ethnic origin in the administration of its admissions policies, educational policies, and other school-administered programs.
I, the parent/guardian, have read and agree to the policies and terms above.
I, the parent/guardian, DO NOT agree to the policies and terms above.
By checking the box below, the parent/guardian agrees to the following and understands that checking the box constitutes a legal signature:
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1. Parents of prospective students must desire, understand, and support a biblically-based, Christ centered education, as well as the specific standards of performance, conduct, and appearance expected of Valley Christian School students.
2. Valley Christian School does not discriminate on the basis of race, color, national or ethnic origin in its educational or admission policies. The school reserves the right to select students on the basis of academic performance and personal qualifications in keeping with our basic philosophy.
3. Parents must agree with the Statement of Faith and desire to have their child trained in accordance with it.
4. Parents of new applicants must have an informal interview with the principal to determine the suitability of enrollment and to establish a foundation of understanding for home/school relationships.
5. All new kindergarten through eighth grade students will be tested to determine grade placement and developmental readiness for entrance into our program. New fifth, sixth, seventh, and eighth grade students must submit references from their pastor or Sunday school teacher and former principal. Acceptance to Valley Christian School is not final until these forms have been received and reviewed.
6. Preschool students must be three years old by August 31.
7. Pre-Kindergarten students must be four years old by August 31.
8. Kindergarten students:
a. Must be five years old by August 31.
b. Must place at or above 5.0 on the Development Readiness Scale.
c. Must present birth and immunization certificates or records.
9. First grade students must be six years old by August 31.
10. All other students:
a. Must be of suitable age for the grade assigned.
b. Must have current immunization record.
c. If the child is up to one year below grade level, we will accept him/her on probation for one year.
d. If the child is one to two years below grade level, we will accept him/her into the grade one level below the grade for which they have applied. The student will be on probation for one year.
**Probation means the student must make a minimum of one year’s growth in a year’s time. The administrator and teacher will evaluate all aspects of the child’s growth during that time.
e. If the child is two or more years below grade level, we cannot accept him/her. As much as we would like to minister to all children, at this time we are not equipped to handle all special needs situations.
11. No student will be admitted whose behavior and work habit records are not acceptable. Such a student must prove himself elsewhere before enrollment at Valley Christian School.
12. Children enrolled in our program must be enrolled in our school to take advantage of our early learning center and before and after care, with the exception of the two year old program.
I, the parent/guardian, have read and agree to the policies and terms above.
I, the parent/guardian, DO NOT agree to the policies and terms above.