BCS Threeschool and Preschool Online Enrollment Form

TUITION & PROGRAM INFORMATION

Threeschool (Must be 3 by Sept. 1) - Tuesday & Thursday - 9:00 AM - 11:00 AM - $720 Annual Tuition

3-Day PM Preschool (Must be 4 by Sept. 1) - Monday, Wednesday, & Friday - 1:00 PM - 3:30 PM - $1110 Annual Tuition

3-Day AM Preschool (Must be 4 by Sept. 1) - Monday, Wednesday, Friday - 9:00 AM - 11:30 AM - $1110 Annual Tuition

PARENT/GUARDIAN INFORMATION

Parent(s)/Guardians(s) First and Last Name(s): *

Your answer

Address/City/State/Zip *

Your answer

Home Phone/Best Contact Number: *

Your answer

Email Address: *

Your answer

Publish Email Address in School Directory: *

Yes

Church Affiliation: *

Your answer

STUDENT #1 INFORMATION

**Threeschool students must be 3 by September 1, 2018. Preschool students must be 4 by September 1, 2018.

Child's Full Legal Name (First, Middle, Last): *

Your answer

Child's Birthday: *

YYYY

Gender: *

Male

Female

2018/2019 Program: *

2-day Morning Threeschool

3-day Afternoon Preschool

3-day Morning Preschool

If the AM Preschool Program is at the maximum capacity of 18 students, would you like to be placed on a wait list to get into the AM Preschool Program? *

Yes

Does Not Apply - Registering for Threeschool

STUDENT #2 INFORMATION (Only if enrolling multiple students)

**Threeschool students must be 3 by September 1, 2018. Preschool students must be 4 by September 1, 2018.

Child's Full Legal Name (First, Middle, Last)

Your answer

Child's Birthday:

YYYY

Gender:

Male

Female

2018/2019 Program:

2-day Morning Threeschool

3-day Afternoon Preschool

3-day Morning Preschool

If the AM Preschool Program is at the maximum capacity of 18 students, would you like to be placed on a wait list to get into the AM Preschool Program?

Yes

Does Not Apply - Registering for Threeschool

PHOTO PERMISSION

Borculo Christian School has permission to use photos and digital media of our child(ren) for publication in newsletters, on the school website, and promotional products current and yet to come. Additionally, I/we give consent for the use of digital media and images, including first names, for the purpose of archival media (i.e. end of year memories DVD's, etc). *

BCS has our/my permission

BCS does not have our/my permission

FIELD TRIP PERMISSION

I/We give BCS permission to take and transport our child(ren) on school sponsored field trips and/or athletic events throughout the 2017/2018 school year and I/We do not need to receive permission slips for each individual trip.

I/We do not give BCS permission to take and transport our child(ren) on school sponsored field trips and/or athletic events throughout the 2017-2018 school year and I/We need to receive permission slips for each individual trip.

Required

Borculo Christian Threeschool and Preschool programs both require a parent/guardian to help provide snacks and assist in the classroom once every 6-8 weeks. The teacher will advise parents when help is needed.

Emergency Information

Father's Employer: *

Your answer

Father's Work # *

Your answer

Father's Cell #: *

Your answer

Mother's Employer: *

Your answer

Mother's Work #: *

Your answer

Mother's Cell #: *

Your answer

Emergency Contact #1: *

Your answer

Emergency Contact Phone #: *

Your answer

Emergency Contact #2: *

Your answer

Emergency Contact Phone #: *

Your answer

Emergency Contact #3: *

Your answer

Emergency Contact Phone #: *

Your answer

Does your child(ren) have any allergies the school should be aware of? *

Yes

If yes, please list the allergies and special instructions:

Your answer

Do you give the school permission to give Tylenol (generic brand) to your child(ren)? *

Yes

Name of Child's Physician: *

Your answer

Name of Child's Health Clinic: *

Your answer

Phone # of Child's Health Clinic: *

Your answer

Please describe any health information you feel would be important for the school to know about: *

Your answer

Please describe any behavioral concerns you feel would be important for our school staff to know about: *

Your answer

Please describe any educational concerns you feel would be important for our school staff to know about: *

Your answer

Please describe any other concerns about your child(ren) you feel would be important for our school staff to know about: *

Your answer

Borculo Christian School Enrollment Contract Terms

It is necessary to establish an agreement upon payments made for tuition and that families adhere to the agreed-upon payment schedule. The board must meet its monthly payments and therefore this necessitates each family doing the same.

1. I/We agree to make full payment of any prior commitment by June 1, 2018. If unable to do so, I will request a meeting with the school’s Finance Committee to mutually resolve the matter. Until these criteria are met, enrollment of the new school year is considered conditional.
2. If I/We cannot meet the payment plan, I/We will contact the Finance Committee.
3. I/We understand that in the event tuition is not paid, legal means of tuition collection may be used.
4. Any child shall be permitted to enroll whose tuition is paid from the previous year. If a balance remains, however, there must be a written agreement as to the tuition payment for the current year.
5. Families that no longer have children at Borculo Christian School are expected to have their tuition paid in full at the time of leaving Borculo Christian, the family and the finance committee must agree on a payment plan to pay the remaining amount owed to BCS. This plan will be made in writing and signed by the parent or parents and a representative of Borculo Christian School.

I/We have read and agree with the contract terms listed above.

Required

*$50 non-refundable deposit due at enrollment. Deposit holds your spot and is credited towards your tuition.

Parent/Guardian Signature: *

Your answer

BCS Representative:

Your answer

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