2015-2016 Kindergarten Enrollment Packet
Transcription
2015-2016 Kindergarten Enrollment Packet
Grace Christian Academy of Valle Vista Assembly of God 2015-2016 Kindergarten Enrollment Packet 45252 E. Florida Avenue, Hemet CA 92544 Phone: 951.392.8676 Website: www.graceca.org Email: [email protected] Like us at: Grace Christian Academy of VV Assembly of God Thank you for your interest in Grace Christian Academy where we are committed to providing a quality and affordable Christian education with a Christian world view for children in the San Jacinto Valley. Grace Christian Academy is a member of the Association of Christian Schools International (ACSI) and a community outreach ministry of the Valle Vista Assembly of God Church. Most Frequently Asked Questions: GCA Curriculum We use a range of curriculum including A Beka, ACSI, Billy Graham and various supplemental material. Standardized Testing Each spring students will complete standardized testing. Maintaining standardized testing ensures evaluation of quality teaching and transferability of student’s accomplishments recognized readily by other schools. GCA School Day Kindergarten Full Day: Kindergarten 1/2 Day: Monday through Thursday from 8:00 am - 3:00 pm Friday from 8:00 am - 2:15 pm Occasional Noon Dismissals from 8:00 am - 12:00 pm Monday through Friday from 8:00 am - 11:30 pm GCA Daycare Before school care is available daily from 7:00 am - 8:00 am. After school care is available for Full Day Kindergarten until 6:00 pm, unless otherwise noted. We welcome parent involvement and participation. Please contact us for additional information and to visit our school. 1/09/15 6/03/14 12/10/14 GCA of Valle Vista Assembly of God Grace Christian Academy of Valle Vista Assembly of God 45252 E. Florida Avenue Hemet, CA 92544 2015-2016 Fee Schedule Phone: 951.392.8676 Website: www.graceca.org Email: [email protected] Like us at: Grace Christian Academy of VV Assembly of God Registration Fee (Non-Refundable & Non-Transferable) Registration fees need to be paid at the time of registration. Registration fees cover a variety of costs, such as administrative cost, ACSI (Association of Christian Schools International) fees, school owned books, student books, etc. Registration $350.00 Kindergarten-5th Grades M-Th 8-3, F 8-2:15, Occasional Noon Dismissals Half Day Kindergarten M-F 8-11:30 6th-8th Grades M-Th 8-3, F 8-2:15, Occasional Noon Dismissals First Student $4150.00 $3700.00 $4500.00 Second Student $3700.00 $3400.00 $4150.00 Each Additional Student $3400.00 $2850.00 $3400.00 Annual Tuition Fees No discount is given for annual prepayment of Tuition. Payment Plan Options: The Annual Tuition may be paid in the following installments of: 12 Installments 6/01/15-5/01/16, 11 Installments 7/01/15-5/01/16 or 10 Installments 8/01/15-5/01/16. Payments are due on the 1st of every month. A late fee of $25, per student, will be added after the 5th. Students may not be admitted to the school until tuition and late fees are paid. All final installment payments must be made on or before May 1, 2016. Daycare Morning Daycare (Daily 7:00 am - 8:00 am) After School Daycare (Daily till 6:00 pm, unless otherwise noted) *** Late Pick-Up Fees $3.50 per day $3.50 per hour *** *** Late Pick-Up Fees: Students picked up late may jeopardize GCA’s ability to offer this valuable service to our students. There are additional Daycare Late Fees of $10.00 from 6:01 pm to 6:05 pm and $1.00 per minute thereafter which will be charged to your account. *** Other Fees Placement Testing (new students, when applicable) 6th-8th Grade P.E. Uniforms 6th-8th Grade Locker Lock (per student, per year) 5th-8th Grade After School Sports (per student, per sport) Yearbook (prepaid by deadline costs $25) Account Late Fee (per student) Contract Cancellation (per student) Returned Check Charge Occasionally there are Field Trips, Special Events, Class Projects or Craft fees. $50.00 $20.00 $7.00 $40.00 (optional) $30.00 (optional) $25.00 $30.00 $30.00 1/09/15 GCA of Valle Vista Assembly of God 2015-2016 Kindergarten Enrollment Requirements & Check List Grace Christian Academy of Valle Vista Assembly of God 45252 E. Florida Avenue Hemet, CA 92544 Phone: 951.392.8676 Website: www.graceca.org Email: [email protected] Like us at: Grace Christian Academy of VV Assembly of God The following items will be needed at registration: _____ Enrollment Application _____ Fee Agreement _____ Emergency Contact Form _____ Physician’s Report (Health Evaluation K) _____ Immunization Record _____ Original Official Birth Certificate _____ Current Report Card (if applicable) _____ Previous School Address and Information Additional information: Placement testing for new students will be scheduled prior to grade placement when necessary. Registration fees are required to retain placement. 12/10/14 GCA of Valle Vista Assembly of God Grace Christian Academy of Valle Vista Assembly of God 45252 E. Florida Avenue Hemet, CA 92544 2015-2016 Kindergarten Fee Agreement Phone: 951.392.8676 Website: www.graceca.org Email: [email protected] Like us at: Grace Christian Academy of VV Assembly of Student’s Information Kindergarten: 1/2 Day @ $3,700.00 Full Day @ $4,150.00 Last Name ___________________________ First Name __________________________ Nickname ________________ Street Address ___________________________________ City ______________________ State _____ Zip ________ Person Responsible For Account 1. Name ______________________________ Relationship to Child _____________ E-mail _______________________ Social Security Number _______________________________ Driver’s License Number _________________________ Home Phone _______________________ Cell Phone ________________________ Work Phone __________________ Street Address __________________________________ City ______________________ State _____ Zip ________ 2. Name ______________________________ Relationship to Child _____________ E-mail _______________________ Social Security Number _______________________________ Driver’s License Number _________________________ Home Phone _______________________ Cell Phone ________________________ Work Phone __________________ Street Address __________________________________ City ______________________ State _____ Zip ________ Tuition Information Full Day Kindergarten Annual Tuition $4150.00 or Half Day Kindergarten Annual Tuition $3700.00 Annual Payment Plan Options: The Annual Tuition may be paid in installments. Select from the following: 12 Installments 6/01/15-5/01/16 (ex. based upon $4,150.00 Annual Tuition: $355 on 6/01, $345 from 7/01-5/01) 11 Installments 7/01/15-5/01/16 (ex. based upon $4,150.00 Annual Tuition: $400 on 7/01, $375 from 8/01-5/01) 10 Installments 8/01/15-5/01/16 (ex. based upon $4,150.00 Annual Tuition: $415 from 8/01-5/01) Account Late Fees: I understand that tuition is due by the 1st of the month and is late if not paid by the 5th. I understand a Late Fee of $25.00, per student, will be applied after the 5th and agree to pay it. Students may not be admitted to the school until tuition and late fees are paid. Daycare Information & Rates Morning Daycare $3.50 per day After School Daycare (Daily till 6:00 pm, unless otherwise noted) $3.50 per hour *** Late Pick-Up Fees: Students picked up late may jeopardize GCA’s ability to offer this valuable service to our students. There are additional Daycare Late Fees of $10.00 from 6:01 pm to 6:05 pm and $1.00 per minute thereafter which will be charged to your account. *** Other Fees Registration $350.00 Placement Testing (new students, when applicable) $50.00 5th Grade Sports (per student, per sport) $40.00 (optional) Yearbook (prepaid by deadline costs $25) $30.00 (optional) Account Late Fee (per student) $25.00 Returned Check Charge $30.00 Contract Cancellation Fee (per student) $30.00 Occasionally there are Field Trips, Special Events, Class Projects or Craft fees. _____________________________ ___/___/___ 1. Signature Date _____________________________ 2. Signature ___/___/___ Date 12/10/14 GCA of Valle Vista Assembly of God 2015-2016 Enrollment Application Grace Christian Academy of Valle Vista Assembly of God 45252 E. Florida Avenue Hemet, CA 92544 Phone: 951.392.8676 Website: www.graceca.org Email: [email protected] Like us at: Grace Christian Academy of VV Assembly of God Student Information: Student’s Name ___________________________________ Nickname _______________________________________ Gender M_____ F_____ Age ______ Grade Entering: __________ School Year 2015-2016 Mailing Address ___________________________________ Date of Birth _______/_______/_______ City ________________________________ Zip _______ Social Security No. _________-________-_________ Family Information: Name of Father or Guardian _______________________________ Relationship to Child ____________________________________ Address _______________________________________________ ______________________________________________________ Lives with child? Yes / No Occupation ____________________________________________ Employer _____________________ Phone ___________________ Education: High School ____ years; College ____ years Marital Status: Married Widowed Separated Single Divorced Remarried Have you personally received Jesus Christ as your Savior? Yes / No The name of your church _________________________________ Are you a member? Yes / No Name of Mother or Guardian ______________________________ Relationship to Child ____________________________________ Address _______________________________________________ ______________________________________________________ Lives with child? Yes / No Occupation ____________________________________________ Employer _____________________ Phone ___________________ Education: High School ____ years; College ____ years Marital Status: Married Widowed Separated Single Divorced Remarried Have you personally received Jesus Christ as your Savior? Yes / No The name of your church _________________________________ Are you a member? Yes / No Church student attends _______________________________________ Attend church regularly? Yes / No Would you be interested in learning more about the ministries of Valle Vista Assembly of God? Yes / No Names and ages of siblings ________________________________________________________________________________ Are siblings of school age enrolled at Grace Christian Academy? Yes / No If not, why ____________________________________________________________________________________________ Will you be able to settle accounts promptly? Yes / No Have you settled your previous school account? Yes / No If not, why? ___________________________________________ Consent to verify settlement of previous school account. Initial__________ Previous school name and address _________________________________________________________________________ _____________________________________________________________________________________________________ Please explain why you wish your child to attend Grace Christian Academy ________________________________________ ______________________________________________________________________________________________________ ______________________________________________________________________________________________________ 12/10/14 Will student be living at home while attending GCA? Yes / No If not, with whom will student be living? Name ___________________________________ Relationship to Student______________________ Phone ________________ Address ___________________________________________________________________________________________________ Medical History / Emergency Information: (Do not leave any blank spaces.) (Legal documentation giving authorization to enroll and seek emergency care are required.) List any allergies or unusual medical information _________________________________________________________________ __________________________________________________________________________________________________________ Doctor’s Name & Address ___________________________________________________ Phone _________________________ Hospital Preference _________________________________________________________ Phone _________________________ Insurance Provider __________________________________________________________ Policy Number __________________ Emergency Contact _____________________________ Relationship _______________ Phone _________________________ Emergency Contact _____________________________ Relationship _______________ Phone _________________________ Please read the following statement carefully and sign below to indicate your agreement. I hereby pledge that I will pay my financial obligations to Grace Christian Academy on the date due. I understand that Report Cards and Standardized Tests will not be issued until all accounts are current. Students whose accounts become delinquent may be asked to withdraw. I agree to uphold and support the high academic standard of the school by providing a place at home for my child to study, and to give my child encouragement in the completion of homework assignments. I authorize Grace Christian Academy personnel to seek medical treatment with the medical providers named above for my child in the event of an emergency. If no preference is listed, I give permission for my child to be treated at the Hemet Valley Medical Center or the nearest emergency treatment center. I consent to the transportation of my child for purposes deemed necessary by the school, such as field trips, athletic events, etc. Occasionally GCA takes photographs of the students while in the classroom, recess, or at school events. If you consent to allow your student’s photograph to be displayed, please sign the authorization below: I give consent to have my student’s photograph published/displayed on our school website and other GCA venues. Initial ____ I understand that the standard of Grace Christian Academy does not tolerate profanity, obscenity in word or action, dishonor to the Holy Trinity and the Word of God, disrespect to the personnel of the school, or continued disobedience to the established policies of the school. I understand that falsification of information on this form could lead to the student’s suspension or expulsion. I hereby certify my consent and submission to all governing policies of the school, including disciplinary policies as outlined in the Handbook for Parents & Students. It is understood that the services of the school are engaged by mutual consent, and that either I or the school reserve the right to terminate any or all services at any time. Admission to Grace Christian Academy is a privilege, not a right. _____________________________ Signature of Father ______/______/______ Date _____________________________ Signature of Mother ______/______/______ Date (Signatures of both parents are required.) Grace Christian Academy admits students of any race, color and national or ethnic origin. 12/10/14 GCA of Valle Vista Assembly of God Emergency Contacts Important: Please update the school immediately if any information changes. 1. STUDENT INFORMATION: Name __________________________________________________ Address ________________________________________________ City ___________________________________________________ Home Phone ____________________________________________ Date Received: Update Received: Grade: ________ School Year 2015-2016 DOB _____/_____/_____ Zip __________ Gender M______ F______ Race __________________________________ 2. PARENT / GUARDIAN INFORMATION: Parents or guardians listed below have permission to pick up the child, unless otherwise indicated. Notify the school office immediately if there are any court orders restricting non-custodial parents or others from contact with the child and provide the school office with the official “Wet Stamp” copy of the order. 1. Parent’s / Guardian’s Name ________________________________________ Relationship to Child _____________________ Home Phone _____________________ Cell Phone _____________________ Work Phone _______________________ Work Place ____________________________________________ E-mail _____________________________________ 2. Parent’s / Guardian’s Name ________________________________________ Relationship to Child _____________________ Home Phone _____________________ Cell Phone _____________________ Work Phone _______________________ Work Place ____________________________________________ E-mail _____________________________________ 3. LOCAL CONTACT INFORMATION: Those designated below are authorized to pick up my child from school in an emergency. 1. Local Contact’s Name ________________________________________ Relationship to Child _____________________ Home Phone _____________________ Cell Phone _____________________ Work Phone _______________________ 2. Local Contact’s Name ________________________________________ Relationship to Child _____________________ Home Phone _____________________ Cell Phone _____________________ Work Phone _______________________ 3. Local Contact’s Name ________________________________________ Relationship to Child _____________________ Home Phone _____________________ Cell Phone _____________________ Work Phone _______________________ 4. OUT-OF-TOWN CONTACT INFORMATION: Out-of-Town Contact’s Name ________________________________________ Relationship to Child _____________________ Home Phone _____________________ Cell Phone _____________________ Work Phone _______________________ 5. MEDICAL / PHYSICIAN INFORMATION: List student’s known allergies or medical conditions ________________________________________________________________ __________________________________________________________________________________________________________ Doctor’s Name ____________________________________________________ Phone _________________________________ Hospital Preference ________________________________________________ Insurance Company ______________________ Dentist’s Name ____________________________________________________ Phone _________________________________ In a medical emergency, we hereby authorize the school to seek emergency medical assistance for our child if we cannot be reached. Parent/Guardian Signature ________________________________________________ Date ____/____/____ 12/10/14