FCS Application – Calvary Baptist Church

Enrollment Application

Notifications regarding this application will be delivered via email.

Application Date:

Grade to Enter *

For school year:

Legal Name: *

First

Middle

Last

Name child goes by: *

Gender *

Age

Date of birth: *

Father's Information

(or legal guardian if other than parents)

Father's Name *

First

Last

Marital Status: *

If other, please explain:

Address

Address Line 1

Address Line 2

City

State

Zip Code

Primary phone number:

Email Address: *

Place of Employment:

Work Phone Number:

Mother's Information

(or legal guardian if other than parents)

Mother's Name *

First

Last

Marital Status: *

If other, please explain:

Address

Address Line 1

Address Line 2

City

State

Zip Code

Primary phone number:

Email Address: *

Place of Employment:

Work Phone Number:

Child lives with: *

If other, please explain:

Do you attend church regularly? *

Pastor's Name

Church Phone Number:

Please indicate your reason for selecting this school:

Has your child ever been diagnosed and/or treated for a nervous, mental, or emotional disorder? *

Has your child ever been expelled, dropped, or suspended by any school? *

Has your child repeated any grade? *

Has your child been home-schooled? *

Complete the information below for other schools attended:

School One

Address

School Phone Number:

Dates of Attendance:

School Two

Address

School Phone Number:

Dates of Attendance:

School Three

Address

School Phone Number:

Dates of Attendance:

Statement of Cooperation

I understand that my child’s attendance at Foundation Christian School is a privilege and not a right. I also understand that, if at any time, his/her conduct, academic progress, or cooperation with the school’s authorities is not in keeping with the school’s requirements, the school reserves the right to terminate, at its sole discretion, my child’s enrollment.

I give permission for my child to take part in all school activities. I absolve the school from all liability in the event my child is injured at school or during any school activity. I agree with the school’s efforts to train my child in the King James Version of the Bible and will encourage my child in this and in all other phases of the curriculum.

I pledge to assist the school in its efforts to encourage the proper behavior of my child in accordance with the standards the school sets for itself. If my child voluntarily withdraws or is requested to withdraw by the school, I understand and accept that no refund of registration fee nor monthly tuition will be made.

Signature *

First

Last

Financial Responsibility

I understand that I am responsible for all tuition and fees, as well as miscellaneous charges, that accrue on the above student’s account.

Registration fees are not required immediately; however, it must be paid in order to secure student’s spot in class. Fees are PER STUDENT. Fee amounts are as follows: February 1st - March 31st: $125, April 1st-May 31st: $150, June 1st - July 31st: $175

Tuition payments are due the 1st of each month, beginning August 1st through May 1st. If payment has not been received by the 15th of the month, a $25 late fee will be added to your account balance and a late notice will be mailed to your home. If payment has not been received by the 25th, you will be notified by phone. IF PAYMENT IS NOT RECEIVED BY THE END OF THE MONTH, ENROLLMENT FOR THE STUDENT WILL BE TERMINATED FOR THAT SCHOOL YEAR.

Name of Parent (or one assuming financial responsibility): * *

First

Last

Relationship to child: *

Give complete name, mailing address, phone number, and email address of person to whom the statement should be sent (if other than parent or guardian):

Name *

First

Last

Mailing Address: *

Phone Number *

Email Address *

Were you referred by one of our Foundation families? If yes, please tell us who

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