GCS - STUDENT APPLICATION FOR ENROLLMENT

STUDENT APPLICATION FOR ENROLLMENT

(complete one form per student)
STUDENT INFORMATION
Student's Name*

First NameLast Name
Nickname/Goes By
Date of Birth*

MonthDayYear
Date
Age*
Grade for Fall of 2023*
Gender*

MaleFemale
Address*

Address

Street Address Line 2

CityState

Zip
PARENT (GUARDIAN) INFORMATION
Father / Stepfather / Guardian Name*

First NameLast Name
Father / Stepfather / Guardian Address (if different from student)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Father / Stepfather / Guardian Phone Number*
Please enter a valid phone number.
Father /Stepfather / Guardian Email*
example@example.com
Mother / Stepmother / Guardian Name*

First NameLast Name
Mother /Stepmother / Guardian Address (if different from student)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Mother / Stepmother / Guardian Phone Number*
Please enter a valid phone number.
Mother / Stepmother / Guardian Email*
example@example.com
SCHOOL INFORMATION
Previous School(s) Attended*
Does the student have*

a 504 Accommodation Plan?an IEP?a MET?None of the above.
Does the student have an Empowerment Scholarship Account (ESA)?*
Has the student ever been retained*
Which grade?
EMERGENCY CONTACT INFORMATION

In case of serious accident or illness at school, your child will be sent to an emergency medical facility. Parents and/or guardians are responsible for all related expenses.
Emergency Contact 1*

First NameLast Name
Relationship 1*
Emergency Contact 1 Phone Number*
Please enter a valid phone number.
Emergency Contact 2*

First NameLast Name
Relationship 2*
Emergency Contact 2 Phone Number*
Please enter a valid phone number.
List any individuals who SHOULD NOT pick up and / or have contact with your student.*
Physician's Name*

First NameLast Name
Physician's Phone Number*
Please enter a valid phone number.
Known Allergies*
Daily Medications
Other Pertinent Medical Information
My child may be given:*

AcetaminophenIbuprofenCough DropsAntacid (TUMS)Please call parent first
STUDENT LIVES WITH
With whom does the student primarily live?*
If "Other," please describe relationship.
Who has legal custody?*
REQUIRED DOCUMENTATION / NOTICES

BIRTH CERTIFICATE- The state of Arizona requires that Grace Christian Schools keep a copy of each student's birth certificate as part of our student records. We will be glad to make a copy for you in our office.

IMMUNIZATION RECORD State law requires a copy of your child's immunization records (or religious exemption form) in their file. Please provide us with an updated copy of the immunization record.

FIELD TRIPS - Students of Grace Christian Schools may attend various field trips off-campus throughout the school year. Parents will be notified prior to each field trip with location and transportation information. Should you wish your child not to participate in these offerings, please contact the office.

Grace Christion Schools admit students of any race, color, and national or ethnic origin.
FINANCIAL AGREEMENT
Following is the definition and our expectations for the payment of tuition:
1. Tuition is an annual fee broken into quarterly or monthly payments for your convenience.
  1. MONTHLY: The first installment payment is due by August 1st, and then each month thereafter (for a total of 10 months) on the 1st day of each month.
  2. QUARTERLY: The first installment payment is due by August 1st. Each period thereafter (October, February, and April) is due on the 1st day of each named month.
2. Families utilizing Empowerment Scholarships (ESAs) will need to either:
  1. Present the current Class Wallet Debit Card at the time of enrollment. Subsequent payments will be charged according to the quarterly schedule.
  2. Sign up for a quarterly invoicing schedule with our office.
3. Families utilizing student tuition organizations (STOs): Upon depletion of scholarship funds, you are responsible for all remaining tuition payments in a timely manner.
4. A late charge of @25 will be assessed on your account for all payments received after the 10th of each month.
5. A $30 fee will be assessed on your account for any check returned to the school by the bank, and you are still responsible for the affected tuition payment.
6. Tuition payments are non-refundable. Tuition payments are due on the 1st of each month, as per your plan. If you need to withdraw your child after the month as started, tuition is still owed for the whole month. (Tuition will not be prorated However, if you pay in advance and then withdraw your child, any monies received for FUTURE months not accrued are refundable.
8. Families who are more than 90 days past due are subject to withdrawal from the school. The Board of Directors will make the withdrawal decision based on a mandatory meeting with the family to give opportunity for an alternative solution for unique circumstances.
This document is understood to be legally binding and I/We have read and agree to comply with the above commitment.
Father / Stepfather / Guardian Printed Name*
Father / Stepfather / Guardian Signature*

Clear
Mother / Stepmother / Guardian Printed Name*
Mother / Stepmother / Guardian Signature*

Clear
PARENTAL SUPPORT COMMITMENT
Christian education involves the whole person; therefore, it is desirable that all elements which bear on the education of a child be consistent and properly reinforce one another. Grace Christian Schools seek to foster an environment that will challenge every student toconsider their personal response to the claims of Jesus Christ. However, the school does not replace the training of the home or church. All three should be in Biblical agreement for a truly well-rounded Christian education for the child.

We, do hereby pledge our support of the following:
1. We commit to pray for Grace Christian Schools students and staff and to be supportive of the school board, administration, faculty, and staff.
2. We agree that if our child should become involved in any trouble with other students in the school, we will in no case complain to any other parents, but in love of Christ and with prayer, register our complaints with the teacher or principal.
3. We understand that assessments will be made to cover damage to school property (including breakage of windows, abuse of books, etc.
4. We pledge our fullest cooperation to always deep doctrinal controversy and denominationalism out of Grace Christian Schools.
5. Grace Christian Schools reserve the right to periodically review behavior and academic progress of every student to determine their ability to benefit from the educational life at this school.
6. By signing this form, we are indicating our family's desire to be a part of Grace Christian Schools and our commitment to support the ideals and standards of this school.
7. We agree to read the Grace Christian Schools Parent/Student Handbook with our child(ren) and abide by its rules, including, but not limited to the dress code, rules for conduct, and the biblical steps to conflict resolution.
8. We agree to take an active role in getting our student(s) to school on-time so as not to disrupt the learning environment.
9. We agree that consistent attendance in school is a requirement for a student's academic and spiritual growth and agree to actively support the school's attendance rules.
10. We agree to demonstrate our support of Grace Christian Schools students and staff by volunteering a minimum of 15 hours of our time during the school year. Volunteerism can take a variety of forms. Options can be discussed with your child's teacher or the principal.
Father / Stepfather / Guardian Printed Name*
Father / Stepfather / Guardian Signature*

Clear
Mother / Stepmother / Guardian Printed Name*
Mother / Stepmother / Guardian Signature*

Clear
Grace Christion Schools admit students of any race, color, and national or ethnic origin.
Should be Empty:

STUDENT APPLICATION FOR ENROLLMENT

STUDENT INFORMATION

PARENT (GUARDIAN) INFORMATION

SCHOOL INFORMATION

EMERGENCY CONTACT INFORMATION

STUDENT LIVES WITH

FINANCIAL AGREEMENT

PARENTAL SUPPORT COMMITMENT