SGBA 2025-26 Application

Tuition
Standard Hours 8:30am-12:00pm

Infant - 2 year old 3 Day Option (Tues, Wed, Thurs) Registration Fee: $200 Monthly Tuition: $200	Preschool 3 Day Option (Tues, Wed, Thurs) Registration Fee: $200 Monthly Tuition: $175
Infant - 2 year old 5 Day Option (Mon-Fri) Registration Fee: $200 Monthly Tuition: $270	Preschool 5 Day Option (Mon-Fri) Registration Fee: $200 Monthly Tuition: $245
El Español Infant - 2 year old 3 Day Option (Mon, Wed, Fri) Registration Fee: $200 Monthly Tuition: $200	El Español Preschool 3 Day Option (Mon, Wed, Fri) Registration Fee: $200 Monthly Tuition: $175
El Español Infant - 2 year old 5 Day Option (Mon-Fri) Registration Fee: $200 Monthly Tuition: $270	El Español Preschool 5 Day Option (Mon-Fri) Registration Fee: $200 Monthly Tuition: $245

Lunch Bunch Extended Stay Program
Lunch Bunch is our extended stay program which allows children to stay later than regular preschool hours three days a week. The children bring their lunches and
enjoy a time of free play in the classroom, on the playground, or in the gym.
Children ages 2 and under will have a nap/rest time.

Lunch Bunch Days: Tuesday, Wednesday, & Thursday.
Hours: 12:00 PM - 2:00 PM
Monthly Tuition: $100/Month

Drop-ins
The drop-in rate is $30 a day.
Lunch Bunch drop-in rate is $20 a day.
Arrangements must be made at least one day in advance and payment must be
made at time of reservation. Drop-ins are only taken if space allows.

Tuition payments are due on the first day on the month. There will not be rate adjustments for absenteeism, holidays, or bad weather days. SGBA will be closed when Caddo Parrish Schools are closed. Our pricing is based on school days per year not per month.

REGISTRATION FEE MUST ACCOMPANY YOUR APPLICATION FOR YOUR CHILD TO BE ENROLLED. THIS FEE IS NON-REFUNDABLE.

*ALL FEES ARE SUBJECT TO CHANGE WITH A TWO-WEEK NOTICE**

Please select the program you are registering your child for:*

8 weeks - 2 year olds (3 day option)8 weeks - 2 year olds (5 day option)3 years old (3 day option)3 years old (5 day option)4 years old (3 day option)4 years old (5 day option)EL Español (3 day option)El Español (5 day option)
Will your child be staying for Lunch Bunch on Tuesday, Wednesday, and Thursday from 12:00PM -2:00 PM?*

YesNo
If enrolling in Extended Hours/Lunch Bunch, will your child be napping?*

YesNo
Child's Name*

First NameLast Name
Child's Date of Birth*

MonthDayYear
Date
Please select one:*

MaleFemale
Age on September 20th, 2025*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Signature of person completing application:*

Clear
Guardian #1*

First NameLast Name
Occupation
Employer
Cell Phone*
Please enter a valid phone number.
Work Number
Please enter a valid phone number.
Email*
example@example.com
Are you a member of SGBC?*

YesNo
If no, do you have a home church?*

YesNo
Best method of contacting parent?*

CallText
Does the child live with this parent?*

YesNo
If no, is this parent allowed to pick the child up from school?*

YesNo
Guardian #2*

First NameLast Name
Occupation
Employer
Cell Phone*
Please enter a valid phone number.
Work Number
Please enter a valid phone number.
Email*
example@example.com
Are you a member of SGBC?*

YesNo
If no, do you have a home church?*

YesNo
Best method of contacting parent?*

CallText
Does the child live with this parent?*

YesNo
If no, is this parent allowed to pick the child up from school?*

YesNo
Is there a court ordered custody agreement?*

YesNo
If yes, please attach a copy of the agreement for our files.

Cancelof
Names of other children in the family:
Name:

First NameLast Name
Age
Name:

First NameLast Name
Age
Name:

First NameLast Name
Age
Name:

First NameLast Name
Age
Pick Up List

Please list individuals who have permission to pick up the child from school:
Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Relationship to the child*
Nickname (if applicable)*
Name

First NameLast Name
Phone Number
Please enter a valid phone number.
Relationship to the child
Nickname (if applicable)
Name

First NameLast Name
Phone Number
Please enter a valid phone number.
Relationship to the child
Nickname (if applicable)
Medical Information
Physician's Name:
Phone Number
Please enter a valid phone number.
Food Allergies:
Seasonal Allergies:
Physical Limitations:
Hearing/Vision/Speech Difficulties
Any other special needs/conditions that we should be aware of?
** You must submit a copy of up to date immunizaztion records before your child can attend preschool. **

Consent for Medical Care
I understand the staff at Summer Grove Baptist Academy will exercise all reasonable care in supervising my child. However, I can not hold the staff at SGBA or Summer Grove Baptist Church liable for any accident which may occur. In the event that my child should need emergency medical care, and I nor my emergency contacts can be reached, I hereby give permission that 911 may be called and medical services rendered. I understand that I will be finacially responsible for any medical care given. I authorize my child to be transportaed by car or emergency vehicle if need be.
Parent/Guardian Name:*

First NameLast Name
Parent/Guardian Signature:*

Clear
Today's Date:*

MonthDayYear
Emergency contact if parents cannot be reached:
Name*

First NameLast Name
Phone Number:*
Please enter a valid phone number.
Relation to child:*
Name

First NameLast Name
Phone Number
Please enter a valid phone number.
Relation to child:
Should be Empty: