JCP Enrollment Form

Parent/Guardian Full Name

First NameLast Name
Relationship to Student
Parent/Guardian Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Parent/Guardian Email Address
example@example.com
Parent/Guardian Mailing Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Parent/Guardian Full Name (2)

First NameLast Name
Relationship to Student (2)
Parent/Guardian Phone Number (2)
Please enter a valid phone number.Format: (000) 000-0000.
Parent/Guardian Email Address (2)
example@example.com
Parent/Guardian Mailing Address (2)

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Emergency Contact Full Name

First NameLast Name
Emergency Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Current School Name
Current School Grades Attended
Current School Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Previous School 1 Name
Previous School 1 Grades Attended
Previous School 1 Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Previous School 2 Name
Previous School 2 Grades Attended
Previous School 2 Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Home Church Name
Church Phone Number
Please enter a valid phone number.Format: (000) 000-0000.

Dress Code
Jordan Christian Preparatory is a uniform/dress code school. This responsibility ultimately rests on the parents and students. No student will be allowed on campus that is not in dress code.
School Uniform
Tops: Polo style shirts or oxfords (any shade of blue and grey, white, and black only). No logos except for JCP logo. Must be tucked in and appropriately buttoned.

Not permitted: Shirts without collars, shirts with designer logo, shirts designed to show skin in the belly or chest area & shirts promoting violence, gangs, drinking/drugs.

Bottoms: Dress slacks, skirts/skorts and shorts. Any shade of khaki/beige, black and navy blue. Cargo uniform style shorts and uniform style joggers are permitted.

Not permitted: Jeans, leggings/jeggings or athletic apparel (unless its school approved athletic apparel). All belt loops must have a belt.

Must be worn around natural waistline. Sagging or any form of underwear exposure will be in violation of school conduct.
Shoes
Fully covered sneakers only (no crocs, slides or bedroom slippers).
Outwear
No hats, headcovers (bandanas, du-rags, winter headband, scarves, bonnets). All sweaters & sweatshirts/hoodies/jackets must still have school approved shirt underneath. No hoodies will be permitted to wear in class.
Zero Tolerance for the following:
- Dresses, shorts and skirts shorter than two inches above the knee.
- Low-cut neckline, spaghetti straps, beach dresses, tank tops, excessively form-fitting clothing, or outfits with bare midriffs (skin must not show around the midriff when the student is standing, sitting, bending over, or
  raising their arms above their heads.)
- Shorts shorter than two inches above the knee or tight shorts (Spandex, biking, etc.)
- Items with suggestive lettering, pictures, symbols, names of rock groups or abusive language written on them.
- Flip-flops, clogs, or open-backed shoes (slides) (for safety reasons).
- Pants or shirts with excessive patches or holes. Pant cuffs that are frayed or slit.
- Wallet chains for girls or boys.
- Sweat pants (fleece). Team sweats can be worn on game days and on P.E. days.
- Oversized/baggy look.
Annual Tuition & Fees
Tuition – (K5 - 12th) - $10,000 Annually

Annual Re-enrollment Application Renewal Fee :
● Single Student: $60 (Returning) / $65 (New)
● Two Students (Family Rate): $100 (Returning) / $105 (New)
● Three Students (Family Rate): $125 (Returning) / $130 (New)
● Additional Students: An extra $25 is required for every student exceeding three.

Transportation Fee :
● Cost: $350 per household for the full school year.
● Important Note: Service is offered on a first-come, first-served basis.
Parents are required to approve their child’s scholarship payments when notified by staff that the quarterly payments are available to approve. I understand that failure to approve the payments will result in my child’s removal from the school register and therefore am subject to losing the state funded scholarship. I further
understand that I am responsible for paying the balance due to Jordan Christian Preparatory and understand that if not, my child’s records will be withheld until the balance is $0.00.
Step Up For Students Scholarships (FTC/FES-EO/FES-UA/HOPE) and AAA Scholarship
Student Name

First NameLast Name
Award I.D
Signature

Non-Scholarship Students:
I understand that tuition payments are due on the 1st of each month, or on the next business day if the 1st falls on a weekend or holiday.

I understand that a $35.00 late fee will be assessed if payment is not received in the school office by the 5th day of the month.

I further understand that if tuition and any applicable late fees are not paid by the last business day of the month, my child will not be permitted to return to school until the account is brought current. In addition, all school activities, extracurricular programs, athletic participation, field trips, and school transportation services will be suspended until the account has been paid in full and is current.
How will you pay?
Signature
Pick-up Permission & Emergency Contact:
Name

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Name

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Name

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Name

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Name

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Signature
Photography/ Video Agreement

I understand that a photographer or videographer from Jordan Christian Preparatory may take pictures with my student (listed below) in it, either individually or in a group. I further understand that these pictures, whether in print or online, may be used in future brochures, videos, or other publications of Jordan Christian Preparatory.
Student Name

First NameLast Name
Signature
Binding Arbitration Agreement:
SECTION 1 - SUBMISSION TO ARBITRATION

Believing that lawsuits between believers are prohibited by Scripture, all who place their children in Jordan Christian Preparatory agree to submit to binding arbitration any matters which cannot otherwise be resolved, and expressly waive any and all rights in law and equity to bringing any civil disagreement before a court of law, except that judgment upon the award rendered by the arbitrator may be entered in any court having jurisdiction thereof.

SECTION 2 - NOTICE OF ARBITRATION

In the event of any dispute, claim, question, or disagreement arising out of or relating to this school handbook or other school matter, the parties shall use their best efforts to settle such disputes, claims, questions, or disagreement as befits Christians. To this effect, they shall consult and negotiate with each other in good faith and, recognizing their mutual interests not to disgrace the name of Christ, seek to reach a just and equitable solution. If they do not reach such solution within a period of sixty (60) days, then upon notice by either party to the other, disputes, claims, questions, or differences shall be finally settled by arbitration as described in section 1, above, and such Procedures for Arbitration as are adopted pursuant to Section 3, below.

SECTION 3 - LIMITATIONS ON ARBITRATION DECISIONS

The Procedures for Arbitration shall be as adopted by Jordan Christian Preparatory.
Signature (Parent/Legal Guardian or Applicant)
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Signature (Parent/Legal Guardian or Applicant)
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Signature (Accepted by Mike Guastella – Headmaster/President)
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Transportation Waiver & Release:
I, the undersigned, give my consent for my child First Name Last Name to be transported to and from school, as well as all field trips and other school related functions such as sports activities and other school related events by Jordan Christian Preparatory school vans/bus and I will assume all liability for their participation in this activity/event and any injury that may result during transport to and from the activity/event. Please note, transportation to and from school is given on a first-come first-serve basis, with priority given to returning families first. Spots are not guaranteed. Please add appropriate fields and text.
Further, by signing below:
1. I will not hold Jordan Christian Preparatory, its officers, agents, employees, assigns or anyone acting on its behalf, responsible or liable for injury occurring to the named person in the course of such activities or such travel.

2. I hereby accept financial responsibility for personal items lost by the person identified herein.

3. I authorize Jordan Christian Preparatory to transport and to obtain, through a physician of its own choice, any emergency medical care that may become reasonably necessary for the person in the course of such activities/events or such travel, and agree to accept the cost of transportation and/or treatment by medical personnel or facility.

4. I accept full responsibility and hereby grant permission for my child to travel on the school vans/bus.

5. I understand that the privilege of riding the bus will be revoked if my child is misbehaving and not following the rules set forth by the driver.
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Signature
Parent Name

First NameLast Name
Admission:
All applicants for admission to Jordan Christian Preparatory must obtain an application for admission. Initial acceptance of new students is probationary for the first 9 weeks. JCP reserves the right to establish and maintain its own standards for student conduct and dress. Students are expected to make acceptable progress both spiritually and academically, to abide by the school rules and guidelines, and to conduct themselves in a manner consistent with the policies and practices as established by the administration. Jordan Christian Preparatory makes no distinction in the admission of students based upon race, gender, nationality, or ethnic culture. As a private Christian institution, admission to JCP is a privilege rather than a right. This privilege may be forfeited, and enrollment terminated should a student, new or returning, fail to meet his or her responsibilities as a student at Jordan Christian Preparatory.

By signing these documents, I am stating that I have read and do understand the rules and guidelines set forth in the parent/student handbook.
Parent Signature
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Parent Signature
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Student Signature
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Registration Checklist:
Birth Certificate (Florida Statute Requirement to enroll in school)

Cancelof
Immunizations Form or Exemptions For. Must be UP TO DATE.(Florida Statute Requirement to enroll in school)

Cancelof
Health Form (Physical) UP TO DATE – must not be more than 1 year old from enrollment date.(Florida Statute Requirement to enroll in school)

Cancelof
Copy of Transcript and/or Withdrawal Form from previous school

Cancelof
Copy of Parent/Guardian’s driver’s license or state I.D.

Cancelof
I.E.P. or 504 Plan (if applicable)

Cancelof
Proof of guardianship via court documents, such as custody paperwork (if applicable),(Florida Statute Requirement to enroll in school)

Cancelof
*** Failure to complete the items on the above checklist may result in the student’s registration being rejected, delayed, and/or sent to the end of the waiting list. ***
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