1. Please complete the application below, print it, sign and include with the admission documents package.

2. Complete the Financial Agreement application by clicking here, print it, sign and include with the admission documents package.

1. Last Name* Applying for School Year*
2. First Name*
3. Address*
4. City* Zip*
5. Home phone*
6. Family E-mail Address*


7. Current Grade* Applying for (enter grade)*


8. Birth Date* Gender* Male Female


9. Home Church*
10. Student's Social Security Number: *

1. Father / Step Father at the address above*
2. Occupation
3. Employer
4. City Phone
5. Cellular



6. Mother / Stepmother at the address above*
7. Occupation
8. Employer
9. City Phone
10. Cellular

1. Other Involved Parent / Guardian # 1

   1. First and Last Name
   2. Relationship to Child
   3. Occupation
   4. Employer
   5. City
   6. Phone
   7. Cellular
2. Other Involved Parent / Guardian # 2

   1. First and Last Name
   2. Relationship to Child
   3. Occupation
   4. Employer
   5. City
   6. Phone
   7. Cellular
3. Home Address:
4. City State Zip

1. Name Age School

I hereby give my consent for my child, , to receive emergency treatment as may be considered necessary in the opinion of the attending physician or paramedics. I understand that accident and health insurance coverage is my responsibility and not the school's.

ACCIDENT & HEALTH INSURANCE COMPANY POLICY #:

As a parent and/or guardian, I am aware that activities at school or sponsored by the school in another location, may involve some risks. I have considered these risks and assume responsibility for my child to participate. Furthermore, I agree not to bring legal action against Grace Christian School, staff, volunteers, or sponsors as a result of injuries suffered in the course of my child's participation. I realize this disclaimer does not release the school from responsible management and supervision of all activities. I further understand that enrollment in the school includes my consent for:

- my child to go on field trips and other school-sponsored activities.
- the staff and administration to use their good discretion in the discipline of my child, in accord with school policy (see student handbook).


Thank you for taking the time to complete this form and for your continued support of our school.

Signatures of both parents

Father / Step Father* Mother / Step Mother*
1. Please provide your email address below to receive a copy of this application, print it, sign and mail it to the school.
2. Email address: *