South Haven Christian School Application for Enrollment

APPLICATION FOR ENROLLMENT
This application does not ensure final enrollment but provides information upon which a decision will be made.
Student Information
Date

MonthDayYear
Date
Grade Entering
SS#
First Name
Middle Name
Last Name
Gender

MaleFemale
Race
Age
Birth Date

MonthDayYear
Date
Previous School Attended / Attending
Grade Completed
School Address
Street Address
City, State, Zip
Family Information
Home Address
Street
City
State
Zip
County*
Parent/Guardian 1 Information
Title

Mr.
First Name
Last Name
Relationship to Student
Cell Phone
Please enter a valid phone number.
Work Phone
Please enter a valid phone number.
Email Address
example@example.com
Occupation
Place of Employment
Church Attending
Parent/Guardian 2 Information
Title

Mrs.MissMs.
First Name
Last Name
Relationship to Student
Cell Phone
Please enter a valid phone number.
Work Phone
Please enter a valid phone number.
Email Address
example@example.com
Occupation
Place of Employment
Church Attending
Marriage
Marital Status

MarriedDivorcedWidowedSeparatedSingle
If parents are divorced or separated, with whom does child reside?
Additional Student Information
Has the applicant ever repeated a grade?

YesNo
If yes, please explain
Has the applicant ever been tested for a learning difference?

YesNo
If yes, a copy of the test results should be submitted along with this application.
List any learning differences, emotional or medical treatments, or physical handicaps, which may affect the applicant’s activities
Has the applicant ever been expelled, suspended, or asked not to return to a school?

YesNo
If yes, please fully explain:
If the student has any disciplinary difficulty, state briefly.
How did you hear of SHCS?
Please state why you seek admission for your child(ren) to South Haven Christian School
Statement of Cooperation
By applying to South Haven Christian School, I understand the following:
- South Haven Christian School is a ministry of the South Haven Baptist Church. We are a co-educational school, which offers families and their children a biblically integrated college preparatory program to help each student grow in the grace and knowledge of Christ and become effective in advancing the cause of Christ in our culture.
- I agree to support the goal of Christian education at SHCS to assist parents in producing mature Christian young people with Christ-like character and conduct.
Financial Guidelines
South Haven Christian School contracts with teachers, staff, and outside vendors based on enrollment from Tuition Agreements. The following tuition refund policy will be enforced:
- I understand that refunds will be considered when the parent/guardian has submitted an official letter of transfer/withdrawal.
- I understand that the Registration Fee and other Student Fees are non-refundable.
- It is my responsibility as a parent/guardian to pay a full year’s tuition for each child enrolled as stated on the current Financial Information Overview, and that late fees may be incurred if not paid by the due date.
- I understand that tuition is not refundable for the month in which a student/students has/have attended any part of the month. Any pre-paid amounts beyond the month of the official letter of transfer/withdrawal is received will be refunded after a seven-day waiting period.
- I understand that a delinquent account will result in academic records being withheld until all outstanding fees and tuition have been paid in full.
- If my account is submitted to collections, I assume the responsibilities of all charges incurred.
Discipline Guidelines
- All students accepted to SHCS enter on academic and disciplinary probation for the first semester of the year they enroll. The School reserves the right to dismiss any student who is found to be out of harmony with the rules and policies of South
  Haven Christian School. Expulsion may result if the student engages in conduct that violates biblical principles, dishonors God, or casts a poor reflection on the reputation of the School.
- I believe that proper discipline is necessary for the welfare of each student, as well as for the entire School. I give permission for my child’s teacher and / or agent of the School to make and enforce classroom regulations in a manner consistent with Christian principles.
- The teachers and administration are hereby given full discretion in the discipline of my child. Disciplinary means may include referrals, assignments, detentions, suspensions, and expulsions.
Academic Guidelines
- I agree to uphold and support the high academic standards of SHCS by encouraging academic responsibility from my child.
General Guidelines
- I give South Haven Christian School permission for my child to take part in all school activities, including school sponsored trips and sports activities. Should I have concerns about an activity; the concerns will be presented in writing to the
  administration for proper evaluation.
- I absolve South Haven Christian School, its employees, and volunteers and hold them harmless from liability to me or my child at School or during School activities of any accidents that take place under reasonable supervision.
- Should there be any questions or concerns involving the School, we agree to contact the teacher or administration, and we agree to follow the principles of Matthew 18:15-17, which says to go directly to the person with whom there is a difference and settle the difference before believers.
- I will not file a lawsuit against South Haven Christian School for any reason. I do agree to submit irreconcilable differences with the School to mediation before mutually acceptable believers. I will not be critical of administration, faculty, or teachers in the presence of my child(ren).
- If a problem with the School cannot be remedied, we agree to quietly withdraw our child(ren) from the school rather than encourage discord or unrest among other parents or students.
- I will regularly pray for and loyally support the faculty, staff, and administration of the School as they minister to the spiritual and educational needs of all enrolled students.
- I will notify the School of any change in our contact information, employment status, or information regarding the health of my child(ren).
I understand that this is a legally binding agreement and that it cannot be altered by any party without the written consent of the other parties. I have read the above information and the Student-Parent Guide and agree to cooperate with South Haven Christian School concerning these guidelines involving the education of my child(ren).
Parent / Guardian Signature

Clear
Date

MonthDayYear
Date
Student's Signature (Grades 6-12)

Clear
Date

MonthDayYear
Date
South Haven Christian School admits students of any race, color, national or ethnic origin to all the rights, privileges, programs, and activities generally accorded or made available to students at the school. It does not discriminate based on race, color, gender (biological gender of one’s birth and notto be altered), or national or ethnic origin in the administration of its educational policies and admissions.
Should be Empty:

APPLICATION FOR ENROLLMENT

Student Information

Family Information

Additional Student Information

Statement of Cooperation

Financial Guidelines

Discipline Guidelines

Academic Guidelines

General Guidelines