PreK Admissions Application
Summit Classical Christian School
Child's Name
*
First Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
Date
Age as of 9/1/24
*
Gender
*
Male
Female
School Year Applying for
*
Please Select
2024-2025
2025-2026
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Preferred Contact Phone
*
Please enter a valid phone number.
Primary Email
*
example@example.com
Father's (or Guardian's) Name
*
First Name
Last Name
Employer
*
Position
*
Mother's (or Guardian's) Name
*
First Name
Last Name
Employer
*
Position
*
Student lives with (select all that apply)
*
Father
Mother
Grandparents
Guardians
Marital Status of Parents
*
Married
Divorced
Separated
Other
What languages are spoken at home? What is your child's primary language?
*
Family's Church
*
Name of Pastor
*
Does your child have any siblings? If so, please list first name and current age of siblings:
*
Why do you wish to have your child attend Summit Classical Christian School?
*
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Getting to Know Your Child
Has your child been in preschool before? If so, please share the name, city/state, and type (play-based, Montessori, etc)
*
Dates attended
*
What are 3 adjectives that best describe your child?
*
Please describe your child’s character strengths and weaknesses:
*
How is your child most easily settled when upset or afraid? How do they share their feelings/emotions?
*
What are some of your child's favorite activities?
*
What motivates your child? What are their interests?
*
Do you have any concerns about your child that would be useful for his/her teacher to know?
*
What are your hopes/goals/expectations for your child at Summit Classical Christian PreK?
*
How do you handle discipline in your home?
*
Does your child know:
*
Limited Exposure
Familiar
Proficient
Basic Shapes
Colors
ABCs
Numbers
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Child's Health Information
For any questions with a "Yes" response, please provide more information in the text box at the end of this section:
Does your child have any special health concerns?
*
Yes
No
Does your child have any allergies or food sensitivity, including drug reactions?
*
Yes
No
Does your child take any regular medications?
*
Yes
No
Has your child ever received early intervention services, or occupational or physical therapy?
*
Yes
No
Has your child ever been diagnosed on the autism spectrum or with any other behavioral or sensory challenges, or been referred for further evaluation?
*
Yes
No
Does your child have any speech, hearing or visual problems?
*
Yes
No
Has your child been formally assessed for any of the above?
*
Yes
No
Has your child had any surgeries?
*
Yes
No
Would there be any restrictions to playing or activities?
*
Yes
No
If you answered "Yes" to any of the above, please specify and include additional information:
Has your child had any of the following childhood illnesses? Select all that apply:
*
Asthma
Bronchitis
Chicken Pox
Diabetes
Heart Disease
Hepatitis
Impetigo
Measles
Mumps
Polio
Epilepsy
Whooping Cough
Croup
German Measles
Scarlet Fever
Tuberculosis
None of the above
Other
Does your child have problems with any of the following? Select all that apply:
*
Constipation
Convulsions
Diarrhea
Fainting Spells
Worms
Frequent Colds, Ear Infections, Sore Throats
Lice
Fatigue
Ringworm
Skin Rash
Soiling
Upset Stomach
Urinary Problems
None of the above
Other
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Parents' Faith & Testimony
Please tell us your story of belief in Christ and what being a Christian means to you
Father’s (or Guardian’s) Testimony
*
Mother’s (or Guardian’s) Testimony
*
Statement of Faith Agreement
Please review our Statement of Faith here: https://www.summitclassical.org/what-we-believe
Statement of Faith
*
I fully support Summit Classical Christian School's Statement of Faith as my own without reservation.
I support the Statement of Faith with the following reservations.
If you have reservations, list them here.
Father's Signature
*
Mother's Signature
*
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