Dover First Christian School - New Student Registration Form
New Student Application Form
Email address *
Student's First Name *
Your answer
Student's Middle Name *
Your answer
Student's Last Name *
Your answer
Student's Gender *
Student's Age *
Your answer
Student's Date of Birth *
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Grade entering *
Student's Social Security Number *
Your answer
Student's Place of Birth (city, state or country student was born in) *
Your answer
US Citizen *
Ethnic Background (Information gathered for statistical purposes)
Your answer
Primary Language spoken at home? *
Your answer
Is the student baptized? *
Date of baptism
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Name of Church, city, state of baptism
Your answer
Home Address
Your answer
Phone number *
Your answer
Student Health Concerns (Takes medication regularly, wears contacts or glasses, hearing problems, allergies, diabetic, ect) -NA if student doesn't have any health concerns *
Your answer
Families Church membership (NA if not applicable) *
Your answer
Students Denomination (NA if not applicable) *
Your answer
Student's Last school attended? (NA if not applicable) *
Your answer
Date last attended
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Does the student have an IEP? (If yes, please submit a copy to principal@doverfirstchristianschool.org or fax to (302) 603-1066) *
Is the student currently expelled or suspended from another school? *
If, yes submit a written explanation (NA if not applicable) *
Your answer
Student's Physician's Name *
Your answer
Physician's Phone Number *
Your answer
Date of last visit *
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Student's Dentist Name *
Your answer
Students Dentist Phone number *
Your answer
Date of last visit *
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If any of these physicians are not available, does the school have your permission to call another doctor? *
Do you have student's proof of birth? (if yes, please submit a copy to Principal@doverfirstchristianschool.org or fax to (302) 603-1066) *
Do you have proof of student's immunization records? (If yes, please submit a copy to Principal@doverfirstchristianschool or fax to (302) 603-1066) *
Parent/Guardian A Full Name *
Your answer
Address of Parent/Guardian A *
Your answer
Parent/Guardian A's Relationship to Student *
Your answer
Parent/Guardian A's Occupation *
Your answer
Parent/Guardian A's Employer (NA if not applicable) *
Your answer
Parent/Guardian A's Business Phone number (NA if not applicable) *
Your answer
Parent/Guardian A's Home Phone number (NA if not applicable) *
Your answer
Parent/Guardian A's Cell number (NA if not applicable) *
Your answer
Parent/Guardian A's email address *
Your answer
Parent/Guardian A's Church Affiliation (NA if not applicable) *
Your answer
Parent/Guardian A's Denomination (NA if not applicable) *
Your answer
Parent/Guardian A's Place of Birth *
Your answer
Parent/Guardian A US Citizen *
Parent/Guardian A's place of birth *
Your answer
Parent/Guardian B's Home Address if different (NA if not applicable) *
Your answer
Parent/Guardian B's Relationship to student *
Your answer
Parent/Guardian B's Occupation (NA if not applicable) *
Your answer
Parent/Guardian B's Employer (NA if not applicable)
Your answer
Parent/Guardian B's Business Phone number (NA if not applicable) *
Your answer
Parent/Guardian B's Home Phone number (NA if not applicable) *
Your answer
Parent/Guardian B's Cell Phone number (NA if not applicable) *
Your answer
Parent/Guardian B's Email Address *
Your answer
Parent/Guardian B's Church Affiliation (NA if not applicable)
Your answer
Parent/Guardian B's Denomination (NA if not applicable) *
Your answer
Parent/Guardian B's Birth Place *
Your answer
Parent/Guardian B's US Citizen *
Parent/Guardian B's Place of Birth *
Your answer
Parents are *
If parents are separated/divorced, who has legal custody? (Court documents need to be filed at school, please submit a copy to Principal@doverfirstchristianschool.org or fax to (302) 603-1066) *(NA if not applicable) *
Your answer
Whom does the student live with? *
Your answer
Is there a court order concerning custody? (Court documents need to be filed at school, please submit a copy to Principal@doverfirstchristianschool.org or fax to (302) 603-1066) *
Does the student have a "NO CONTACT" order? (Court documents need to be filed at school, please submit a copy to Principal@doverfirstchristianschool.org or fax to (302) 603-1066) *
Please list others in the household and their relationship to the student. (NA if not applicable) *
Your answer
Emergency contact list (Requirement: at least 2 contacts with phone numbers) *
Your answer
Pick up list - Please list all possible adults who will be picking up your student after school. *The school must be notified if this list changes. Designee must present a driver's license before the child/children are released. *
Your answer
NON-REFUNDABLE APPLICATION FEE, REGISTRATION FEE and FIRST MONTH'S TUITION. (Application fee $50.00, Registration fee $250.000 are non transferable or refundable) *
Library & Textbook Lending: I the parent agree that if any textbook or library books assigned to my child become damaged, misused beyond normal wear and tear, or are lost, that I will pay the school for the replacement cost of the book(s). *
Due Process: Rules and policies changes to the handbook by the administration during the school year will take precedence over what was formally printed in the handbook. *
Consent to Test: I give permission for DFCS, or its authorized representative, to test my child in order to determine academic progress and best serve his/her needs. *if your child has had previous diagnostic testing it is important that a copy be on file at school. *
Photo/Video Release │ I hereby grant DFCS and its employees, agents and assigns, the right to photograph my dependent and use the photo, derivatives, and/or other digital reproductions of him/her or other reproductions of his/her physical likeness for publica- tion purposes, whether electronic, print, digital or electronic publishing via the internet. Furthermore, I assign the rights for any recording, beit audio and/or visual, to be used in the same manner as the aforementioned photographs. Example: Website, PR, wall posters, etc. *
Disclaimer │ Dover First Christian School reserves the right to withdraw acceptance or dismiss the applicant from school in the event that incomplete or inaccurate information is provided. The application information is confidential and is intended for the school’s purposes only. This form is an application for admission only. Upon completion of all application procedures and School Board approval, you will be notified of acceptance. *
Parent Contract │ We are in agreement with the objectives, standards, and policies of Dover First Christian School. We (I) will support the school and staff, and upon acceptance, I accept full financial responsibility for the above student. We (I) affirm that the information provided in this application is true to the best of our (my) knowledge. You will be notified of your child’s acceptance status. *
Parent Contract│ I have read the objectives, and policies of this school in the DFCS Handbook. If I am accepted by the school, I will endeavor at all times to uphold the Christian standards of the school and to respect staff and rules. Link: DFCS Handbook https://docs.google.com/document/d/1nq8mZ_chQPPyLVPZ7vNwzq_40NWZznwzE6cKiLYAr48/edit?usp=sharing *
Student Contract│ I have read the objectives, and policies of this school in the DFCS Handbook. If I am accepted by the school, I will endeavor at all times to uphold the Christian standards of the school and to respect staff and rules. Link: DFCS Handbook https://docs.google.com/document/d/1nq8mZ_chQPPyLVPZ7vNwzq_40NWZznwzE6cKiLYAr48/edit?usp=sharing *
DFCS uses an online application for financial aid. There is a $50.00 financial aid application fee. https://online.factsmgt.com/signin/4M9RT *
DFCS uses an online application for online payment plans and options. There is a $50.00 setup fee from the company. This is the only way which DFCS collects payments. https://online.factsmgt.com/signin/4M9RT *
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