Please enable JavaScript in your browser to complete this form.Enrollment ApplicationNotifications regarding this application will be delivered via email.Application Date:Grade to Enter *-K3K4K51st2nd3rd4th5th6th7thFor school year:-2022-20232023-2024Legal Name: *FirstMiddleLastName child goes by: *Gender *-MaleFemaleAgeDate of birth: * Father's Information(or legal guardian if other than parents) Father's Name *FirstLastMarital Status: *-SingleMarriedSeparatedDivorcedOtherIf other, please explain:AddressAddress Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePrimary phone number:Email Address: *Place of Employment:Work Phone Number:Mother's Information(or legal guardian if other than parents) Mother's Name *FirstLastMarital Status: *-SingleMarriedSeparatedDivorcedOtherIf other, please explain:AddressAddress Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePrimary phone number:Email Address: *Place of Employment:Work Phone Number:Child lives with: *-Both ParentsFatherMotherOtherIf other, please explain:Do you attend church regularly? *-YesNoPastor's NameChurch Phone Number:If yes, name of church:If no, please explain:Please indicate your reason for selecting this school:Has your child ever been diagnosed and/or treated for a nervous, mental, or emotional disorder? *-YesNoHas your child ever been expelled, dropped, or suspended by any school? *-YesNoIf yes, please explain:If yes, please explain:Has your child repeated any grade? *-YesNoHas your child been home-schooled? *-YesNoIf yes, please explain:If yes, indicate grade(s):K3K4K51st2nd3rd4th5th6th7thComplete the information below for other schools attended:School OneAddressSchool Phone Number:Dates of Attendance:School TwoAddressSchool Phone Number:Dates of Attendance:School ThreeAddressSchool 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 *FirstLastFinancial 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): * *FirstLastRelationship 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 *FirstLastMailing Address: *Phone Number *Email Address *Were you referred by one of our Foundation families? If yes, please tell us whoDropdownFirst ChoiceSecond ChoiceThird ChoiceSubmit
