STUDENT APPLICATION

STUDENT APPLICATION

All questions must be answered before application will be considered.
Grade Required*

Grade RGrade 1Grade 2Grade 3Grade 4Grade 5Grade 6Grade 7
Date of Application*

DayMonthYear
Date
STUDENT INFORMATION

Please give legal names of student.
First Name*
Middle Name (if any)
Surname*
Preferred Name*
Date of Birth*

DayMonthYear
Social Security #
Age*
Gender*

MaleFemale
Street Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Last Daycare or School Attended*
Last Daycare or School Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Reason for Leaving
FATHERS INFORMATION
Fathers First Name
Living with family?*

YesNo
Fathers Surname
Cell Number
Please enter a valid phone number.
Fathers Address (if not the same as the student)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Fathers Place of Employment and Phone Number
Are you a Christian Father? If yes, on what do you base your answer?
MOTHERS INFORMATION
Mothers First Name*
Living with family?*

YesNo
Mothers Surname*
Cell Number*
Please enter a valid phone number.
Mothers Address (if not the same as the student)*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Mothers Place of Employment and PHone Number*
Are you a Christian Mother? If yes, on what do you base your answer?
Parents marital status*

MarriedSeparatedDivorcedWidowedSingle
Family E-mail Adddress (if any)
example@example.com
GENERAL INFORMATION
Why do you want your child to attend Bay Baptist Academy?*
Briefly state your philosophy of child discipline:*
Has this child experienced academic, social, or disciplinary problems in his/her previous school?*

YesNo
If the answer to the above question is "Yes", please provide details.
Has your child been diagnosed as having a learning disability or other conditions that would affect educational performance?*

YesNo
If the answer to the above question is "Yes", please provide details.
Is this child currently taking any prescription medications?*

YesNo
If the answer to the above question is "Yes", please provide full details of medications and reasons.
Does the family attend Sunday school or church regularly?*

YesNo
Church and Pastors Names
Name, Address and Contact Number of 2 friends or associates (not relatives) who know you well:*
ALTERNATIVE CHILD PICKUP

Persons authorised to pick up your child/children from Bay Baptist Academy premises:
1) Pickup authorised for:
Phone Number
Please enter a valid phone number.
2) Pickup authorised for:
Phone Number
Please enter a valid phone number.
3) Pickup authorised for:
Phone Number
Please enter a valid phone number.
MINOR MEDICAL CARE

Signing this form includes confirmation that you have read and agree with the Minor Medical Care statement below.
It is possible that your child may suffer a fall or a slip while they are at school.

We have a Mecial Aid box that is used for these minor bumps, cuts and abrasions and we will clean the wound (Dettol) and cover it with a plaster or a badage. We will also apply an ointment Bactroban) if required.

If they suffer a bump, we will apply an ive-pack if necessary.

This is the extent of the medical aid that we will apply on the premises and a note will be sent to you if this happens.
MEDICAL / EMERGENCY - PERMISSIONS
It is the Bay Baptist Academy policy to notify a parent when a child is ill or in need of medical attention.

Occasionally we are unable to contact parents, and we need to get immediate help for the child.

Our procedure is to have the child taken to the nearest emergency service by ambulance. (Ambulance fee is the parent’s responsibility.)

If an ambulance is not available, the child care provider/staff of the school will transport the child.

By signing this Application Form, I/We hereby give permission to the child care provider/staff of Bay Baptist Academy to make necessary transportation arrangements for my child who has become ill or injured.
In the event of an emergency requiring a physician’s care, would you like us to call your family doctor?

YesNo
Family Doctor Name*
Family Doctor Phone Number*
Please enter a valid phone number.
Family Doctor Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
HEALTH HISTORY

This informatiion will be provided to the ambulance, doctor, healthcare provider if required
Other than at birth, has the child been hospitalized?*

YesNo
Please provide full details: - hospitalisation reason, location and childs age at the time:*
Has the child had any surgery?*

YesNo
Please provide full details: - hospital name, doctors name, procedure done and childs age at the time:
Has the child had any x-rays?*

YesNo
Please provide full details: - Date of last X-rays, reason and childs age at the time.*
It the child allergic to any of the following:*

MedicationInjectionsFoodOther
Please provide full details: - Name of substance/medication/food and the reaction the child has to it.*
Type a question*

VitaminsIronFluorideOther medications
Has your child had any of the following (please select all that apply):*

AnaemiaArthritisAsthmaAllergic RhinitisAccidental poisoningAtopic dermatisis (Eczema)ArthritisBroken bonesBed wettingChronic coughCroupChicken poxConstipationDiabetesDental problemsFrequent nose-bleedsFrequent headachesHeart murmerHigh blood pressureHepatitisHead injuriesHearing problemsLoss of consciousnessPneumoniaStrep throatScarlet feverSeizuresUrinary tract infectionsOther
Was there any delay in the child’s learning to:

WalkTalkSit
Does the child have difficulty in school with:

LearningBehaviourSkipping schoolOther
How many days of school has the child missed in the past 6 months?*
Reasons for missing school

Describe the child’s behavior by marking the appropriate category:

	No problem	Minor problem	Major problem
Short attention span
Cannot sit still
Aggressive
Overly quiet
Overly active
Poor loser
Difficulty getting along with others

STATEMENT OF FAITH

Signing this form includes confirmation that you have read and agree with the Statement of Faith below:
• We believe in the divine authority and inspiration of the Scriptures.
(II Timothy 3:16)
• We believe in the personality, deity, and present work of the Holy Spirit.
(John 7:38-39)
• We believe in the total depravity of man. (Genesis 6:5)
• We believe that there is a literal hell, a place for the eternal and conscious
punishment of all the unsaved. (Matthew 25:41)
• We believe in the virgin birth and deity of Jesus Christ. (Matthew 1:18-25)
• We believe that salvation is by grace through faith in Jesus Christ.
(John 3:16, John 5:24, I John 4:17)
• We believe in the security of the believer. (Luke 10:20, John 3:36)
• We believe that once a person is saved, they should be baptized by immersion.
(John 3:23, Acts 2:41, Romans 6:3-6)
• We believe literally in the Genesis account of creation. (Genesis 1:1,
Genesis 2:21-23, Exodus 20:11, Acts 4:24, Hebrews 11:3)
• We believe in the pre-tribulational, pre-millennial coming of the Lord Jesus Christ.
(Matthew 28:18-20, Luke 12:35-40, II Timothy 3:1-5, Revelation 19:11-16)
• We believe that God created only two genders, male and female. (Genesis 1:27)
This Statement of Faith does not exhaust the extent of our faith. The Bible itself
is the sole and final source of all that we believe.
__________________________________________
FINANCIAL AGREEMENT - TUITION AND FEE PAYMENT POLICY

We have read the policies shown below and hereby agree to its terms
1. Payments for tuition and fees must be made through EFT and cash in the school office.
2. TUITION payments are paid monthly and are due in the school office on
the first of the month. A payment is late when paid after the 10th. A late payment fee of R200 will be charged. If payment isn’t made by the 15th of the month, your child will have to withdraw from school until finances are settled with the school.
4. Registration fees, and re-enrollment fees are not refundable except in the event the family or student moves out of the area before school begins.
5. No reductions are allowed for absences from school or holidays.
6. In case of withdrawal from BBA, all payments must be made to ensure release of report cards, records, and transcripts.
7. Late Pickup: I understand that I will be charged (and agree to pay) a late pick-up fee of R10 per minute for the first five minutes and R50 per minute thereafter. In the event of an emergency, I will call the school.
8. Withdrawal: If I plan to withdraw my child from the Academy, I will submit a written notice at least two weeks in advance.
9. We will make timely payments of all tuition and fees for the school year.
STATEMENT OF COOPERATION

By signing this form you confirm that you commit to the Statement of Co-operation below.
• We believe in the divine authority and inspiration of the Scriptures.
• We agree that the spiritual development of our child(ren) is the responsibility of the home, church, and school. We will endeavor to be involved in each of these areas.
• We agree with and support the doctrinal statement, mission, vision, purpose, and philosophy of discipline of the Bay Baptist Academy.
• We pledge our loyalty to the faculty, staff, and administration of BBA, and will bring any concerns to the person(s) involved.
• We understand and will encourage the importance of our child developing respect for those who have been placed in authority over them and respect the rights and property of others.
• We understand that parent support and cooperation is vital for the success of the school and the child.
• We therefore pledge our attendance at parent meetings and special programs that our children participate in and when available, will go on our child’s field trips.
We understand that the Academy staff agrees to work closely with the parents or guardians in all areas of school life and will communicate in a timely fashion any school-related problem or concern.
• We understand that Bay Baptist Academy is a ministry and operates on the principle of faith. Tuition and fees are set according to an approved budget in an effort to make quality Christian education affordable to those who desire it for their children. As the Lord provides, we will prayerfully consider gifts of time, talent, and finances to help meet needs and make improvements in the Academy. We also commit to upholding BBA in prayer.
• We understand that attendance at BBA is a privilege and not a right.
• We will do our best to tell others about the excellence in childcare and Christian education that our child is receiving at BBA.
CELLPHONE POLICY

By signing this form you agree to the following regarding cellphones at school
Please note that it is the Policy at Bay Baptist Academy that students/learners may NOT be in possession of cell-phones during school hours (i.e. from 8:15 to 2:30).

We understand that some students may have theirs with them when they come to school, but in these cases, the phone must be handed in to the teacher before classes start and it will then be returned to them once classes end.
MINOR MEDICAL CARE

By signing this form you agree to the following terms regarding Minor Medical Care and waive all claims for compensation or damages.
As a parent or guardian of the student, I hereby consent to the staff at Bay Baptist Academy providing basic medical care for minor cuts and abrasions which may be experienced. Treatment will be limited to stopping bleeding (if any), cleaning the wound with antiseptic (Dettol), applying an ointment (if required) and applying a plaster, gauze or bandage.

A report on the cause of the issue will be provided by the teacher.
PHILOSOPHY OF DISCIPLINE

By signing this form you confirm that you have read the Philosophy of Discipline below and agree to its terms:
Bay Baptist Academy strives to provide a safe, secure, happy, caring, and loving environment for every child that is enrolled. Believing that discipline is necessary for the welfare of the student as well as the entire school, each teacher is given the responsibility of making and enforcing classroom regulations in accordance with the Christian principles and discipline as set forth in the Scriptures. The teacher and administration take this responsibility seriously and will maintain communication with the parents regarding any discipline matters.
Child training and discipline is nurturing. Nurturing will be handled with kindness, love, and understanding. Attention will be given to specific needs of each child, while at the same time each child will be encouraged to become a part of the group through participation.
The Academy expects and needs the full cooperation of the students and the parents. If at any time the school believes this cooperation is lacking, the parent(s) will be asked to confer with the administrator and teacher in order to seek appropriate steps to bring about a positive change. If poor cooperation continues, the parent(s) will be asked to withdraw the student.
Discipline shall be age and developmentally appropriate. We realize that children need to be taught right from wrong. With the Bible as our basis, we will endeavor to “train up a child in the way he should go.” Proverbs 22:6
How will our teachers deal with bad behavior? A time out and/or loss of a privilege for a short period of time will be used to help correct a negative behavior. Also 2nd grade and up use the demerit system. We do not spank or physically touch children in any way. Our emphasis is on a positive environment: where there is praise, prayer, encouragement, sensitivity, respect, and most of all love that cares.
If there is an incident, the teacher will send a discipline report to the parents that day. If there is a very serious matter, the teacher will call one of the parents.
We believe that the training your child receives at home, at church, and at school will mold his/her character for the rest of his/her life. With God’s help, and partnering together, we can be assured that the very best is being done for your child.
Thank you for allowing us to be an integral part of your child’s life
We appreciate your consideration of Bay Baptist Academy for your child. Your application will be reviewed and you will be contacted by phone regarding the status of your child’s admission. SIGNING OF THE FORM WILL BE DONE AFTER THE INTERVIEW.
To the best of my knowledge, the information given on this application is true and accurate. Both Parents/Guardians to sign.

Clear
Should be Empty:

STUDENT APPLICATION

STUDENT INFORMATION

FATHERS INFORMATION

MOTHERS INFORMATION

GENERAL INFORMATION

ALTERNATIVE CHILD PICKUP

MINOR MEDICAL CARE

MEDICAL / EMERGENCY - PERMISSIONS

HEALTH HISTORY

STATEMENT OF FAITH

FINANCIAL AGREEMENT - TUITION AND FEE PAYMENT POLICY

STATEMENT OF COOPERATION

CELLPHONE POLICY

MINOR MEDICAL CARE

PHILOSOPHY OF DISCIPLINE

We appreciate your consideration of Bay Baptist Academy for your child. Your application will be reviewed and you will be contacted by phone regarding the status of your child’s admission. SIGNING OF THE FORM WILL BE DONE AFTER THE INTERVIEW.