Kindergarten Tuition Application

Student's Name*

Legal First NameLegal Last Name

Student's Age*

Student's Date of Birth*

Date

Student's Grade for the 21-22 School Year*

Address*

Street Address

County

CityState / Province

Postal / Zip Code

Student lives with:*

(ex: mom, dad, both parents, etc)

CUSTODY: If divorced or separated, which parent or person has primary physical custody of the student as determined by your divorce decree.

Upload certified copy of Custody Order

Parent 1 Name*

First NameLast Name

Parent 1 Address (if different than student)

Street Address

County

CityState / Province

Postal / Zip Code

Parent 1 Email Address*

example@example.com

Parent 1 Home Phone

Please enter a valid phone number.

Parent 1 Phone Number*

Please enter a valid phone number.

Parent 1 Work Phone

Please enter a valid phone number.

Parent 2 Name*

First NameLast Name

Parent 2 Address (if different than student)

Street Address

County

CityState / Province

Postal / Zip Code

Parent 2 Email Address*

example@example.com

Parent 2 Home Phone

Please enter a valid phone number.

Parent 2 Cell Phone*

Please enter a valid phone number.

Parent 2 Work Phone

Please enter a valid phone number.

Last school the student attended:*

Reason the student left last school:*

Why do you desire to enroll in Buford City Schools?*

Is your student in a gifted program?*

YesNo

Is your student receiving special education services through an IEP?*

YesNo

If your student has an IEP, please upload it here:

Is your student receiving speech services?*

YesNo

Is your student receiving ESOL services?*

YesNo

Is your student receiving SST services?*

YesNo

Is your student receiving RTI services?*

YesNo

Does your student have a 504 plan?*

YesNo

Is your student receiving ISP services?*

YesNo

Has your student ever been retained?*

YesNo

If yes, what grades?

What language did the student learn first?*

What language does the student use at home?*

Does the parent/guardian speak English?*

YesNo

If no, what is the primary language spoken by parents?

List any medical conditions and any health-related information about the student (e.g., diabetes, sensory integration, vision impairment, recent hospitalization, private counseling services, etc).

List all prescription and over-the-counter medications taken regularly by the student, including use of an inhaler. Also, indicate each item that must be administered and/or made available at school.

Does this student have any life-threatening allergies (e.g., food, nut, insect)?*

YesNo

If yes, please indicate the type of allergic reaction and the response required.

Does the student have any medically documented restrictions that would: (a) prevent participation in PE classes? Or (b) require specials needs in the classroom (e.g., sitting in the front of the classroom, special equipment needs)?*

YesNo

If YES, a doctor's statement must be uploaded here:

Has the student ever attended Buford City Schools?*

YesNo

If yes, what year did this student attend Buford City Schools?

Please list parents grandparents, and other family members who have attended Buford City Schools. (Name, Relationship to Student, Year Graduated from BCS)

Is this student the child of a Buford City Schools or City of Buford employee?*

YesNo

If YES, please list employee's name and location they work:

Does this student currently have a sibling attending BCS?*

YesNo

Please list any siblings that currently attend Buford City Schools. (Name, Grade, School)

Does this student have any siblings applying to attend Buford City Schools?*

YesNo

Please list other siblings applying for Buford City Schools. (Name, Grade, School)

Buford City Schools' tuition/non-resident students are held to high standards. Students must maintain acceptable attendance, behavior, and grades as determined at the discretion of school administration. Additionally, the parent/guardian is expected to maintain a cordial ad cooperative working relationship with school personnel. Failure to comply with any provision of this statement shall authorize the principal to immediately withdraw such student.

By completing this application with your name and date below you are certifying all information is accurate and that you will comply with the statement above.

Signature of person completing application:

Name of person completing application:

First NameLast Name

Date of application:

Date

Incomplete tuition application packets will not be processed for consideration.

A complete kindergarten application includes:

$250 Application Fee (paid below)
20/21 Preschool Observation Checklist Form (to be completed by the preschool)
IEP/504 Plan/RTI/ISP (if applicable)
Speech (if applicable)
ESOL (if applicable)

If you have the 20/21 Preschool Observation Checklist completed by the current preschool, you may upload that here:

My Products*

Tuition Application Fee($250.00 application fee + $8.00 processing fee) If your student enrolls at BCS, the $250.00 application fee will be deducted from their first tuition payment, otherwise, it will be refunded.

$258.00

Total

$0.00

Credit Card