1391 Crawfordville Highway, Crawfordville, Florida 32327

“The Difference that Lasts a Lifetime”
The faculty and staff of Wakulla Christian School would like to extend a warm welcome of your interest in
our school. We are honored that you have chosen WCS to be a partner in your child’s formative years;
and it is a joyful responsibility for us to help your child to form a strong foundation of academic
excellence and Christian character.
A student is admitted to WCS on the basis of former records, interviews and standardized test scores, as
well as availability of space and willingness of the family to participate within the school guidelines and
philosophy. Parents may begin the registration process by submitting an application along with the
required fees and information:
Preschool
 The birthday cutoff for admission is September 1 of the school year the student wishes to enter.
 Students must be completely potty trained.
 Students will be screened with an evaluation instrument of the school's choice if the
administration determines it is necessary.
 Students may be asked to visit a classroom for an hour before acceptance is determined.
Grades Kindergarten – High School Applicant Requirements
 Maintain a C average or above in academic grades or evidence of satisfactory academic
performance if grades are not available.
 Attain a composite achievement score on a nationally normed standardized achievement test at
the 50th percentile or higher. Recent test results within the last 18 months are acceptable.
 Have satisfactory attendance for the previous year.
 Have satisfactory behavior history (at home, in school, and in the community) and provide
positive indication that he/she truly wants to be a part of the WCS student body.
 Interview with the appropriate school officials.
 Additional testing may be required at the expense of the parent.
Admission decisions are based upon a student’s previous school record, a personal interview for students
in grades six and higher, results of an admissions test or recent standardized achievement tests. We look
at the whole child, both evaluating a student’s readiness and ability to succeed academically in our
challenging curriculum, and determining if WCS is a good fit for your child.
May the Lord bless you and your family!
Sincerely,
Wakulla Christian School
1391 Crawfordville Highway, Crawfordville, Florida 32327
Telephone: (850) 926-5583 • Fax: (850) 926-5186
www.wakullachristian.com
“Train
up a child in the way he should go: and when he is old, he will not depart from it.” Proverbs 22:6
Wakulla Christian School ENROLLMENT Application
REV 2/25/14
The mission of Wakulla Christian School is to help each student grow as Jesus did in wisdom, in stature, and in favor with God and man.
APPLICANT INFORMATION – ONE (1) APPLICATION PER STUDENT
School Year ____/____
Circle Grade: 3K 4K VPK - Full Day
 New Student
Entering Grade: _______________________
 Returning Student
PLEASE PRINT OR TYPE
Race and Ethnicity Breakdown of Student
4K VPK - Half Day
(optional)
 Hispanic/Latino Origin
 American Indian/Alaska Native  Asian  Black/African American
 Native Hawaiian/other Pacific Islander
 White/Caucasian
 Other _______________
STEP-Up
Full Birth Name of Student:
Name to call child:
Student Resides With:  Both Parents  Mom  Dad
 Other
Legal Custody of Child:
 Both Parents  Mom  Dad  Other
Student’s Physical Address:
 Copy of Court Order on File
Home Telephone #:
Student’s Mailing Address:
EXTENDED CARE (3:30pm-6:00pm):  YES  NO
Date of Birth:
 Male
 Female
Social Security Number:
Do you give permission to WCS to use your child’s photo in newsletters, newspaper
Any Sibling(s) attending WCS:  YES  NO
articles, and in any other way that would be helpful to the school?
Name(s)/Grade(s): ________________________________________________________
 YES  NO
What caused you to be interested in sending your child to WCS:  Parents of other WCS students
 Radio
 Yellow Pages
Name of Family Church:
Pastor’s Name:
Church Address:
Church Telephone #:
 Newspaper
 Other___________________
FAMILY INFORMATION
Father:
 Authorized to Pick Up
Mother:
 Authorized to Pick Up
Home Address:
Home Address:
City, State, Zip:
City, State, Zip:
Home Telephone Number:
Home Telephone Number:
Employer:
Employer:
Work Number:
Cell:
Work Number:
Cell:
Email Address:
Email Address:
Father’s Drivers License #:
Mother’s Drivers License #:
MEDICAL INFORMATION
I hereby grant permission for the WCS staff to co ntact the following medical personnel to obtain emergency medical care , if
needed. If WCS is unable to reach anyone on your emergency contact list, what actions do you wa nt WCS to take? (Please specify belo w ).
Primary Doctor:
Insurance Company:
Address:
City/State:
Hospital Preference:
Allergies/Medical Issues:
Policy / Group #:
Actions to take if medical care is needed:
EMERGENCY CONTACTS & AUTHORIZED PERSONS ALLOWED TO PICK UP STUDENT
Your child will only be released to the custodial parent or legal guar dian, or other persons listed below.
Name:
Relationship:
Telephone:
 Authorized to Pick Up
Name:
Relationship:
Telephone:
 Authorized to Pick Up
Name:
Relationship:
Telephone:
 Authorized to Pick Up
Name:
Relationship:
Telephone:
 Authorized to Pick Up
Name:
Relationship:
Telephone:
 Authorized to Pick Up
Are there any unusual factors in the child’s life of which the teacher or staff should be aware?  Yes If so please explain on back or on another sheet of paper (if needed).
Is there any person not allowed to pick up the student? If so, please list:
Action to take:
BEHAVIOR EXPECTATIONS: Wakulla Christian School (WCS) expects every student to behave in an appropriate manner. The first lesson each student must learn is to follow the teacher’s instructions, the first time given, with a pleasant and cooperative
attitude. The second lesson is to treat classmates the same as one would like to be treated, i.e., with respect and kindness, etc. Wakulla Christian School considers its campus a violence-free zone. Unacceptable behavior, such as hitting, kicking or any action
which is intended to physically harm another student, will not be tolerated. Further, offensive language, such as name calling, profanity, or any other form of corrupt speech, will not be tolerated. In cases where behavior is a hazard to the safety of other students,
the offending student will be suspended. If the student’s behavior continues to be a threat to the safety of other students, or if a student’s misbehavior continually disrupts the educational opportunities of other students, the family may be asked to withdraw the
student from WCS.
NONDISCRIMINATORY POLICY: WCS admits students of any race, color, national and ethnic origin to all the rights, privileges, programs, and activities generally accorded or made available to students at the school. It does not discriminate on the basis of race,
color, national and ethnic origin in administration of its school-administered programs, inclusive of athletics and fine arts, nor any of its school-administered policies which include admissions, and other policies.
ANTI-HARASSMENT POLICY: WCS provides an environment in which individuals are free to work, learn, and develop relationships without fear of intimidation and humiliation as a result of unwanted or unacceptable behavior of others. It is essential that
students, teachers, staff members, and parents treat each other with due respect for their rights, individuality, and personal dignity.
PARENT AGREEMENT: I agree to support the behavior expectations indicated above. I have explained the behavior expectations to my child and will support the school in enforcing them.
X
Office Use ONLY:
__________________________________________________________________________________________________ Signature of Parent/Guardian
Beginning Date: ___________ Withdrawal Date: ___________
_______________________________Date
 Registration Fee Received: ___________  Book Fee Received: ___________  Admissions Testing: ___________  Other: ___________
1391 Crawfordville Highway ~ Crawfordville, Florida 32327 ~ Telephone: 850.926.5583 ~ Fax: 850.926.5186 ~ www.wakullachristian.com
Wakulla Christian School Records Request
1391 Crawfordville Highway • Crawfordville, Florida 32327
Telephone: (850) 926-5583 • Fax: (850) 926-5186 • Email: [email protected]
www.wakullachristian.com
REV 2/26/14
Student Information
Name of Student:_________________________________________________________________________________________________________________
WCS School Year:___________________________
Date of Birth:
 NO
 YES
Grade: _______________________
 Male
 Female
Social Security Number:
EXTENDED CARE NEEDED (3:30pm-6:00pm)
Grade: _______________________
Former School
Name of School Attended (previous year):
Mothers Name:
School Address:
City, State, Zip:
School Telephone Number:
Principal’s Name:
Student was in what grade last year?
Has the student been enrolled in a special education program of any kind?
If yes, please indicate type of program and where:
Has student ever been retained in any grade level?  Yes
If yes, please indicate what grade level(s) and when:
 Yes
 No
 No
Has student ever been suspended or expelled from any school?
 Yes
If yes, please provide the details regarding the suspension or expulsion:
 No
Please provide WCS with a copy of all testing (including last year’s Report Card and FCAT Scores).
Are there any unusual factors in the student’s life of which the teacher or staff should be aware? If so, please explain bel ow:
___________________________________________________________________________________
Signature of Parent / Guardian
 ACCEPTED – by: _____________________
___________________________________________________________
Date
OFFICE USE ONLY
Date to begin: __________________________________________
The final regulations – Family Educational Rights and Privacy Act (Buckley Amendment) dated June 1976, no longer requires written parental consent to release student
educational records between schools. These rules state that school officials in school systems in which the student may intend to enroll may release and receive a student’s
records without written consent of such release. (Florida, see also Florida State Statue 228.093 and State Board of Education Rule 6A-1.955).
Date Requested Records: ______________________________
Date Received Records: __________________________________________
Notes: ______________________________________________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________________________________________