Grades 1-5 Registration

- Starting Date
  MM slash DD slash YYYY
- Grade Entering
- Date of Birth
  MM slash DD slash YYYY
Name
First Middle Last
Address
Street City State ZIP
- Home Phone
- Alternate Phone
- Student’s E-mail Address
- Race
- Sex
Church Regularly Attended by the Student
Who does the student live with (ex: birth mother & father, step-mother or father, or legal guardian)?

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Please provide all information (such as address, phone numbers, and work information) for step-mother, stepfather, or legal guardian in note.
Mother
Mother’s Full Name
First Middle Last
Address (If different from child)
Street City State ZIP
- Employer
- Position
- Work Phone
- Email
- Marital Status
- Have you remarried?
- Cellular Phone
- Does mother have legal custody?
Father
Father’s Full Name:
First Middle Last
Address (If different from child)
Street City State ZIP
- Employer
- Position
- Work Phone
- Email
- Marital Status
- Have you remarried?
- Cellular Phone
- Does father have legal custody?

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All questions below must be answered by a parent or legal guardian.
Why do you want this student to attend Gospel of Grace?
How did you hear about Gospel of Grace:
If yes, who:
Father
Is the father a born-again Christian?
Please explain how you (father) became a born again Christian:
Church attended regularly by the father
Phone #
Mother
Is the mother a born-again Christian
Please explain how you (mother) became a born again Christian:
Church attended regularly by the mother:
Phone #
Payments
Space is limited at Gospel of Grace Christian School; therefore, if your child is accepted, someone else might be rejected due to lack of space. In making application for enrollment, you are stating that you desire for your child to complete the school year 2021-2022 at Gospel of Grace Christian School. If you remove your child before the end of the school year, an empty spot is left in the classroom. Since we operate at the very lowest cost possible to make Christian education affordable, we are left with a gap in our income. Therefore, if you remove your child before the school year has ended, you must pay half of the remaining tuition or $640, whichever is greater. No records will be released if this obligation is not met, and your balance may be referred to a collection agency.

Tuition balances must be paid in full by the due date each month. If there is any balance due after the due date, Smart Tuition will charge a $40 late fee. If the balance still is not paid 10 days after the due date, your child’s attendance will be interrupted until the balance is paid in full.
I, (parent name listed below), the legal guardian of (student name listed below), desire to have my child complete the 2021-2022 school year at Gospel of Grace. I understand that the policy of Gospel of Grace Christian School is to make NO REFUNDS for registration fees, or book fees. I absolve Gospel of Grace Christian School from liability to me or my child because of injury to my child at school or during any school activity. I have read the Gospel of Grace Christian School handbook with my child and we agree to support the rules, faculty, and administration of the school.
- Date
  MM slash DD slash YYYY
- Student’s Name
- Mother’s Signature
- Print Name
- Father's Signature
- Print Name

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List Schools in Order From Latest to Earliest
- Name of School
- Grade Levels
- Phone
- Name of School
- Grade Levels
- Phone
- Name of School
- Grade Levels
- Phone
- Name of School
- Grade Levels
- Phone
Previous School Questions
Is any money owed to any of these former schools?
If yes, which school?
Has student ever been suspended or expelled from any school?
If yes, where and why?
Has student repeated any grade level?
If yes, which grade/grades?
Has student ever been placed in a special class, support group, or resource center?
If yes, explain
List any academic subject with which your child struggles
Has student ever had excessive tardiness or absences?
If yes, why?

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Does student have any physical disabilities or challenges?
If yes, please explain
Does student have any emotional challenges
List any learning disabilities or challenges
Does student have difficulty reading?
Does student struggle with math?
Describe student in one sentence
Do you feel your child is immature or mature for his/her age?
What does your child like to play with most?
What type of books is your child interested in?
Please list your child’s hobbies or interests
Do you feel that your child listens to correction well?
How does your child interact with other children his/her age during playtime?
Can your child sit for 30-minute periods?
Is your child an only child?
Are there any custody agreements, family separation, or family issues that we need to be aware of (Gospel of Grace Christian School must have a copy of any court issued custody agreements)?
If yes, please explain
Does your child live at more than one address?
Who lives in the same household as your child?
Does your child have a hard time getting comfortable around new people?

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The above information I provided is true and correct to the best of my knowledge.
Parent Signature
Print Name
Date
MM slash DD slash YYYY

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Grades 1-5 Registration Form ( 2024-2025)

Step 1 of 6 – Student Information

Mother

Father

Father

Mother

Payments

List Schools in Order From Latest to Earliest

Previous School Questions