GCS Admission Form

  • Student Information

  • Has your child previously attended Grapevine Christian School?*
  • Gender*
  •  - -

  • PLEASE NOTE:  We will contact you to confirm availability in your preferred class.  If we do NOT have availability in your preferred class, you will be placed on our waiting list.  

  • Is your child potty trained?*

  • PLEASE NOTE:  Children in our 3 year old classes should be ACTIVELY working on potty training or FULLY potty trained PRIOR to beginning school at GCS.  Children in our Pre K and Transitional Kindergarten classes should be FULLY potty trained.  

  • Does your child attend church regularly?*

  • Primary Parent/Legal Guardian

    The parent/legal guardian listed here will be our first contact.
  • Format: (000) 000-0000.

  • Additional Parent/ Legal Guardian Information

    The person listed here will be the second person we contact.
  • Format: (000) 000-0000.

  • Emergency Contact

    While parents are always the first to be contacted in the case of an emergency, please provide the name, address, and phone number of the person to be called if parents cannot be reached during an emergency.
  • Format: (000) 000-0000.
  • In addition to the parents and emergency contact listed above, I would like to authorize GCS to allow my child to leave the operation with additional person(s), which I will list below, if applicable.*

  • Authorized Pick Up Person #1

    Complete ALL information.
  • Format: (000) 000-0000.

  • Authorized Pick Up Person #2

    Complete ALL information.
  • Format: (000) 000-0000.

  • Authorized Pick Up Person #3

    Complete ALL information.
  • Format: (000) 000-0000.
  • Photograph Authorization: I give my permission for photos of my child to be used in advertisements including, but not limited to, Grapevine Christian School Facebook page and website.*
  • Water Activities: I give my consent for my child to participate in the following indoor and outdoor water activities.*
  • Water Activities: Is your child able to swim without assistance?*
  • Meals: I understand that GCS will serve my child the following meals while in care.*
  • Skin Product: I authorize application of sunscreen, insect repellent, diaper ointment, or other skin products that I provide for my child. Please note you need to apply first at home and we will apply additional at school.*
  • After School: How often do you plan for your child to attend after school (2 pm to 3:30 pm)?

  • PLEASE NOTE:  There are a limited number of spots in after school that are filled on a first come, first serve basis each month.  Our after school times are 2:00 pm to 3:30 pm, and the cost is $16 per day.

  • Student Medical Information

  • Format: (000) 000-0000.
  • My child has been examined within the past year by a health care professional and is able to participate in a preschool program. (Note: A Physician's Health Statement must be completed and turned in before the first day of school.)*
  •  - -
  • My child was last seen by the physician listed above.
  • Does your child have a diagnosed food allergy? If your child has a diagnosed food allergy, an Allery Action Plan must be complete and signed by you and your child's healthcare provider and submitted to GCS prior to the first day of school.*
  • Child's Special Care Needs: (Please check all that apply.)*

  • We want to make sure you feel informed and empowered when it comes to your child’s care. The following list outlines important rights you have under Chapter 42 of the Human Resource Code (HRC) Section 42.04271.

    • As a parent or guardian of a child in our care, you have the right to:Visit and check out the facility anytime during business hours—no need for advance notice!
    • Access publicly available records about the facility.
    • Receive inspection reports and learn how to view our compliance history online.
    • Request a copy of our policies and procedures.
    • Review staff training records and the training materials we use.
    • Look at any written records we keep about your child.
    • View any available video recordings related to an alleged incident involving your child (with privacy considerations for other children).
    • Ensure we follow any court orders regarding visitation or custody.
    • Get contact details for your local Child Care Regulation office.
    • File a complaint with the local Child Care Regulation office if needed.
    • Exercise your rights without fear of retaliation.

    By signing below, you’re confirming that you’ve received a copy of these rights. We’re here to provide a safe and supportive environment for your child, and we appreciate the trust you place in us!

  • Registration Fee

    I understand that in addition to the Admission Form I must submit a non-refundable registration fee to the GCS office in order to reserve a spot for my child in the preschool program. My child's spot in the program will NOT be reserved until both items have been received. An invoice will be sent via email to me through Brightwheel, the billing app GCS uses. Payment must be received within 48 hours of the invoice being sent in order for my child's spot to be secured.

  • 2 Days (Tuesday/Thursday) - $200

    3 Days (Monday/Wednesday/Friday) - $240

    5  Days - $290

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