NCCS Registration

Student Information:
Student Last Name*
Student First Name*
Birthday*

MonthDayYear
Age*
Gender*
Academic Information
School Year:*
Grade*
Academic Records
We give permission to have our student's record requested from their previous school?*

Yes
Previous school year:*

PublicPrivateHomeschooled independently: If so, you will need to send NCCS your student’s academic records, a copy of their birth certificate, a copy of up to date immunization record.
Previous School:*
Street Address:*
City:*
State:*
Zip:*
Phone:*
Family Information
Update
Father's Full Name:*
Father's Place of Employment :*
Mother's Full Name:*
Mother's Place of Employment :*
Street Address:*
City:*
State:*
Zip:*
Phone:*
Email:*
With whom is the student currently living?*
Who is the student’s legal guardian if child doesn't live with parents?
Church family attends:*
HSLDA Information
Do you hold Home School Legal Defense Association membership?*

YesNo
What is your HSLDA membership #?
Date HSLDA membership expires:

MonthDayYear
Faculty Information
Update
Who will be the primary teacher, at home with the student, during school hours?*
High School education?

YesNo
High School attended:
Last year attended:
College education?*

YesNo
Name of College attended:
College degree:
Do you have a teaching credential?

YesNo
List teacher training or other education related training:
Parental Responsibility Agreement

North County Christian School requires both parents to agree to and follow through with these responsibilities in teaching their children at home. Read through this agreement, sign & date.
We will apply to HSLDA for membership OR we will renew our HSLDA membership each year that we are enrolled in NCCS.*

Agree
We will provide curriculum for student in compliance with state guidelines for subjects to be taught.*

Agree
We understand the importance of accurate record keeping and agree to maintain a daily lesson plan book that records what was accomplished in each subject and we will keep these records for, at least, a two year period.*

Agree
We understand it is the parent’s responsibility to provide curriculum, do lesson planning, maintain a record of daily work, evaluate our student’s progress and that all decisions relating to educational philosophy and methods, style, selection of books, teaching material and curriculum, grading and evaluations are our responsibility. Therefore, the outcome of your student’s education rests on your efforts and that of your students.*

Agree
One parent will be at home during school hours and teaching our student in an orderly and systematic manner, at least 180 days of the year.*

Agree
We will enter attendance and grades at the times specified on the school calendar, realizing that timely attendance reporting is absolutely essential in an independent study program.*

Agree
We will post our elementary student’s proposed course of study and/or high school student’s course description on their report card page at the beginning of the school year.*

Agree
We understand that the School Calendar, NCCS Handbook, and the NCCS High School Manual have important dates and information that we need to know in order to work responsibly with NCCS. We agree to read through the Handbook/Manual and review the school calendar and acquainted ourselves with the school services and our responsibilities.*

Agree
We will notify NCCS if and when we enroll our student in another school as a matter of courtesy.*

Agree
We realize that our student will be dismissed from enrollment if: 1) We fail to do our record keeping in accordance with the NCCS Handbook. 2) We fail to comply with Parental Responsibility Agreement in any way.*

Agree
Although we believe it is the parent’s responsibility to direct their student’s education we have policies that may conflict with some family’s strategy. We feel these policies help support the integrity of North County Christian School. We will attempt to accommodate each parent’s philosophy and goals as much as possible.*

Agree
Signature
We have read through the Parental Responsibility Agreement, understand the requirements that pertain to us and our student, and agree to comply with them while we have our student enrolled in NCCS.

Agree
Father's signature:*
Date*

MonthDayYear
Mother's signature:*
Date*

MonthDayYear
Typing in your name and date is acknowledging your agreement and compliance with the Parental Responsibility Agreement.
If this is not complete enrollment will not be processed.
Should be Empty:

Student Information:

Academic Information

Academic Records

Family Information

HSLDA Information

Faculty Information

Parental Responsibility Agreement

Signature