Enrollment Form 2020-2021

Enrollment Form 2020-2021

7710 Evergreen Way, Everett, WA - P: (206) 486-5883 FellowshipChristianSchools@gmail.com
Student Name *

First Name Last Name
Date of Birth (mm/dd/yyyy) *
Grade Entering (2020-2021) *
Must be 5 by 8/31/20 for standard Kindergarten enrollment. Please ask about early entrance Kindergarten for earlier entrance.
Full-Time/Part-Time
Referred By (Please leave blank if you were not referred by anyone.)

First Name Last Name

Parent/Guardian Information:

Please fill out in full. Invoices & school notifications are emailed to families.
Mother's Information:

Please type N/A for questions that do not apply.
Parent's/Guardian's Name (Mother) *

First Name Last Name
Email *
example@example.com
Phone Number *

Area Code Phone Number
Work/Occupation *
Work Number *

Area Code Phone Number
Work Location *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Father's Information:

Please type N/A for questions that do not apply.
Parent's/Guardian's Name (Father) *

First Name Last Name
Email *
example@example.com
Phone Number *

Area Code Phone Number
Work/Occupation *
Work Number *

Area Code Phone Number
Work Location *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Mailing & District Info.
Home/Physical Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Mailing Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Additional Emergency Contact

Please provide any additional emergency contacts you would like to keep on file, below.
Name *

First Name Last Name
Phone Number *

Area Code Phone Number
Relation: *
Name

First Name Last Name
Phone Number

Area Code Phone Number
Relation:
Transportation Information

Please provide any additional people allowed to pick up your child, below, and let us know if we are allowed to share your contact information for carpooling options.
May we provide your contact information for carpooling? *

Yes No
Name

First Name Last Name
Phone Number

Area Code Phone Number
Relation:
Name

First Name Last Name
Phone Number

Area Code Phone Number
Relation:

Commitment

Faith Based Teaching Agreement
Fellowship Christian School admits students of any race, color, national and ethnic origin to all the rights, privileges, programs, and activities generally accorded or made available to students of the school. Fellowship Christian School does not discriminate on the basis of race, color, or national and ethnic origin in the administration of its educational policies and admission.

Fellowship Christian School’s biblical role is to work in conjunction with the home to mold students to be Christ-like.

I wish to register my child for attendance at Fellowship Christian School for the current school year. I have read the Statement of Faith and agree that my child may be taught according to the doctrinal basis of the Bible while attending Fellowship Christian School.
Mother's/Guardian Name (printed) *

First Name Last Name
Mother's/Guardian Signature *

Clear
Father's/Guardian Name (printed) *

First Name Last Name
Father's/Guardian Signature

Clear
Commitment

Tuition, Fees & Enrollment Agreement
Enclosed or provided is the annual, non-refundable registration fees, which I understand are refunded only if a student is denied admission by the school. I understand that without the paid fees, my child will not be placed on the list for enrollment nor held an enrollment spot. Fees are due immediately.

I understand that in signing this enrollment application for the coming academic year, I am agreeing to accept the rules concerning payment of tuition and fees as set by the Tuition & Fees Policy of the School. I understand that all fees and rates are annual and I agree to pay in full or split the tuition into 10 consecutive equal payments/installments, starting no later than August 1, 2020 and commencing no later than May 1, 2021. I understand all fees are non-refundable and I also understand tuition is not pro-rated based on the number of days my child attends school or the number of school days in a month or for any other reason.

I understand that in the event of withdrawal/un-enrollment, the balance of outstanding fees and tuition must be paid before clearance is given to other schools in the transfer of transcripts/records. I understand that If I choose to withdraw my child, I am required to and will give at least one month (30 days) written notice (handed into the school office) and pay for the fees associated with the withdrawal/un-enrollment of my child (no less than 1/10 of annual tuition or 1 monthly tuition installment). I understand I will continue to be billed and incur fees until I turn in this written notice to the school office. I also understand un-enrollment of my child for the month of May or June will result in no pro-ration to the annual tuition and fees due. May and/or June un-enrollment will not reduce the annual rate or fees due. Full fees and tuition must still be paid.

Signature of Parents or Guardians Financially Responsible for Student:
Mother's/Guardian Name (printed) *

First Name Last Name
Mother's/Guardian Signature *

Clear
Father's/Guardian Name (printed) *

First Name Last Name
Father's/Guardian Signature

Clear
I will be paying annual tuition in: *

10 consecutive payments/installments, beginning August 1, 2020. I will also be providing ACH for monthly payment withdrawal, through Quickbooks. 2 equal payments/installments, on August 1, 2020 and January 1, 2021. Full (with a credit card), by August 1, 2020 (No discount applies due to credit card processing fees). Full (with cash/check, less a 3% discount), by August 1, 2020.

Student Records

School/Academic History & Immunization Information. This section must be filled out completely. If your child is not transferring from another school,
School/Academic History

Information required for the transfer of student records. Please include all previous schools attended.
The following student has applied for admission into Fellowship Christian School.

To all previous & current schools, please mail or turn in the following:
- Report cards (previous and current grades)
- SAT scores
- Copy of the student’s birth certificate
- Student attendance
- Any disciplinary or reference forms
Please return these items to our office as soon as possible to help aid in the admissions process. If the student is accepted, our office will then request all official student records, including immunization certificate, etc.
Student Name

First Name Last Name
Date of Birth (mm/dd/yyyy)
Current Grade
School Name
Dates Attended (mm/yyyy-mm/yyyy)
School Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
I hereby authorize release of the above stated information to Fellowship Christian School.
Date:

Month Day Year
Date
Parent/Guardian Name:

First Name Last Name
Parent/Guardian Signature

Clear
School Phone Number

206 486-5882
Please send student records to:

Fellowship Christian School

7710 Evergreen Way

Everett, WA 98203

P: (206) 486-5882

FellowshipChristianSchools@gmail.com

--------------------------------------------------------------------

For FCS Office Use

DATE OF REQUEST:__________________

DATE REQUEST RECEIVED:___________
Immunization Records Request

By law, this section must be completed by all families before their child is admitted to Fellowship Christian School.
Student Immunization Records: *

I will be providing records from my child's doctor, by no later than the first day of school. I understand these records are required before attendance. I will be providing an exemption from my child's doctor, by no later than the first day of school. I understand these records are required before attendance.
Immunization records can be retrieved in many ways:

https://www.doh.wa.gov/YouandYourFamily/Immunization/ChildProfileHealthPromotion/ForParents/AccessyourFamilysImmunizationInformation
Thank you for completing the Fellowship Christian School enrollment packet. We are excited God has led you to us and we will be sure to let you know when we have reviewed your packet and your child has been accepted for enrollment. Please make sure to pay the school office all enrollment fees to complete and hold your child's enrollment spot. Once the enrollment packet is submitted, you will receive an enrollment invoice via Quickbooks. Payment can be made online or paid at the school office. Please make checks out to Fellowship Christian School.

7710 Evergreen Way

Everett, WA 98203

Thank you and God bless you!
Should be Empty:

Enrollment Form 2020-2021

Parent/Guardian Information:

Mother's Information:

Father's Information:

Mailing & District Info.

Additional Emergency Contact

Transportation Information

Student Behavior & Academic Background

Behavior

Academics

Commitment

Commitment

Scholarship Awards & Volunteering

Student Records

School/Academic History

Immunization Records Request