Canton Christian School Admissions Application

Welcome to Canton Christian School, where we believe in nurturing the academic, spiritual, and personal growth of every student. We are excited to partner with you in your child's educational journey, offering a Christ-centered learning environment that emphasizes excellence, integrity, and community. By completing this enrollment form, you are taking the first step towards joining a vibrant and supportive school community dedicated to empowering your child to achieve their highest potential. Please take a few moments to provide us with the necessary information so we can best serve your family and ensure a smooth transition into our academy.

General Instructions

Read carefully: Please read each form section carefully and provide accurate information.

Complete all required fields: Ensure all required fields are filled out. Incomplete forms may delay the enrollment process.

Please provide detailed information: Where applicable, provide as much detail as possible to help us understand your child’s unique needs and strengths.

Reminder: Children must be 3 years old as of August 1 to enter Preschool and 5 years old as of August 1 to enter kindergarten.

Supporting documents: If required, email any supporting documents (e.g., previous school records, medical forms, IEPs) to hello@cantonchristianschool.com

Contact information: If you have any questions or need assistance, don't hesitate to get in touch with our admissions office at hello@cantonchristianschool.com.

We are thrilled about the opportunity to welcome you and your child to the Canton Christian School family. Together, we will create a nurturing and inspiring environment where your child can thrive academically, grow spiritually, and develop lifelong friendships. Thank you for entrusting us with your child's education. We look forward to partnering with you in this exciting journey.

This is an application for admissions and will be reviewed by our admissions committee. We will be in touch about the next steps!

Canton Christian School admits students of any race to all the rights, privileges, programs, and activities generally accorded or made available to students at CCS and that CCS does not discriminate on the basis of race in administration of its educational policies, admissions policies, scholarship and loan programs, and other CCS-administered programs.
Required fields*

Please check here to indicate that you understand the above information
Page 1 of 6

Parent/Guardian Information
1st Parent/Guardian Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Cell Phone*

Area CodePhone Number
Home Phone

Area CodePhone Number
Work Phone

Area CodePhone Number
E-mail*
2nd Parent/Guardian Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Cell Phone

Area CodePhone Number
Home Phone

Area CodePhone Number
Work Phone

Area CodePhone Number
E-mail
Would you like a phone call from a board member or founding teacher?*

YesNo
Are there any step parents involved in the students life?*

YesNo
If yes, please provide the names and contact information of the step-parents:
Are there any legal custody arrangements or agreements that the school needs to be aware of? If yes details of the custody arrangements may need to be discussed with the school.*

YesNo
Please list all individuals who are allowed to pick up the student from school.
Page 2 of 6

Information for Child 1
Name of Student 1*

First NameMiddle NameLast Name
Grade in September 2024*
Birth Date*

MonthDayYear
Gender:*
Name of Last Year's School
Home School District*
Medical Needs for Child 1
Does your child have any medical/emotional problems of which we should be aware?*
Please explain your child's medical/emotional needs here*
Does your child have any allergies?*
Please describe your child's allergies here*
Is your child on any regular medication?*
Please list your child's regular medications here.*
Does your child receive extra help inside or outside the classroom at his/her school? (i.e. IEP, speech therapy, reading resource, etc.)?*
Please explain the type of help he/her receives here.*
Add another child?*

NoYes
Page 3 of 6 (Child 1)

Information for Child 2
Name of Student 2*

First NameMiddle NameLast Name
Grade in September 2024*
Birth Date*

MonthDayYear
Gender:*
Name of Last Year's School
Home School District*
Medical Needs for Child 2
Does your child have any medical/emotional problems of which we should be aware?*
Please explain your child's medical/emotional needs here*
Does your child have any allergies?*
Please describe your child's allergies here*
Is your child on any regular medication?*
Please list your child's regular medications here.*
Does your child receive extra help inside or outside the classroom at his/her school? (i.e. IEP, speech therapy, reading resource, etc.)?*
Please explain the type of help he/her receives here.*
Add another child?*

NoYes
Page 3 of 6 (Child 2)

Information for Child 3
Name of Student 3*

First NameMiddle NameLast Name
Grade in September 2024*
Birth Date*

MonthDayYear
Gender:*
Previous School's Name
Home School District
Medical Needs for Child 3
Does your child have any medical/emotional problems of which we should be aware?*
Please explain your child's medical/emotional needs here*
Does your child have any allergies?*
Please describe your child's allergies here*
Is your child on any regular medication?*
Please list your child's regular medications here.*
Does your child receive extra help inside or outside the classroom at his/her school? (i.e. IEP, speech therapy, reading resource, etc.)?*
Please explain the type of help he/her receives here.*
Add another child?*

NoYes
Page 3 of 6 (Child 3)

Information for Child 4
Name of Student 4*

First NameMiddle NameLast Name
Grade in September 2024*
Birth Date*

MonthDayYear
Gender:*
Previous School Name
Home School District
Medical Needs for Child 4
Does your child have any medical/emotional problems of which we should be aware?*
Please explain your child's medical/emotional needs here*
Does your child have any allergies?*
Please describe your child's allergies here*
Is your child on any regular medication?*
Please list your child's regular medications here.*
Does your child receive extra help inside or outside the classroom at his/her school? (i.e. IEP, speech therapy, reading resource, etc.)?*
Please explain the type of help he/her receives here.*
If you wish to enroll more than 4 students, please complete this application for the first four and complete an additional application as necessary.
Page 3 of 6 (Child 4)

Tuition and Additional Fees
Canton Christian School will not refund any tuition fees paid if a child is absent during the year. In the event that you withdraw your child from the school during the year, any fees already paid are non-refundable regardless of when you withdraw.
EMERGENCY & MEDICAL INFORMATION
If a medical emergency arises, it is the policy of the school to notify the parent/guardian of the child or the emergency contacts listed below. However, if this is not practical due to the nature of the emergency or the parent/guardian is unavailable, the school will call 911.

If I am unavailable, I hereby give permission for emergency care and treatment which could include hospitalization, anesthesia, and surgery for my child if deemed necessary.
Please check "Yes" to provide your consent.*

Yes
First emergency contact name*
First emergency contact phone number*
Second emergency contact*
Second emergency contact phone number*
PERMISSION SLIP
I hereby grant permission for my child/children to participate in Canton Christian School's activities and events and I release Canton Christian School and its staff, representatives, and officers from all liability arising out of my child's participation.

Please check "Yes" to provide your consent.
Required field*

Yes
MEDIA ACKNOWLEDGMENT
I grant permission for Canton Christian School to use my child’s image and voice in printed & electronic materials, with the knowledge that no last names will be used on a public document.

Please check "Yes" or "No" to provide your consent.
Required field*

YesNo
Should be Empty:

This is an application for admissions and will be reviewed by our admissions committee. We will be in touch about the next steps!

Parent/Guardian Information

Information for Child 1

Medical Needs for Child 1

Information for Child 2

Medical Needs for Child 2

Information for Child 3

Medical Needs for Child 3

Information for Child 4

Medical Needs for Child 4

Grade selection and Payment Details

Payment Details

Payment Options

Credit Card Offset Donation

ADDITIONAL COMMENTS

Tuition and Additional Fees

EMERGENCY & MEDICAL INFORMATION

PERMISSION SLIP

MEDIA ACKNOWLEDGMENT