Grades 6-12 Enrollment Form | Greater Beckley Christian

Enrollment Form Grades 6 – 12

Student Fees

Per student. All fees are mandatory. *All fees must be paid by first day of school.

Description of Registration Fees

Testing Fee – State-mandated annual achievement testing.
Technology Fee – Supports the maintenance and replacement of technology equipment and resources.
Transportation Fee – Helps cover the maintenance and replacement of school vehicles.
ACSI Dues – Annual membership dues payable to the Association of Christian Schools International (ACSI).
Activity Fee – Covers free admission for students to all home athletic contests.

REGISTRATION FEE(Required)

Non-refundable

Price:

BOOK RENTAL AND CONSUMABLE MATERIALS FEE(Required)

Non-refundable

Price:

YEARLY TUITION(Required)

Non-refundable

Price:

Student Information

Student's Full Legal Name(Required)

First Middle Last

Grade Entering

Goes By:

Date of Birth(Required)

(K-5 must be prior to July 1st)

Place of Birth:(Required)

Gender(Required)

Male

Female

Social Security #(Required)

Ethnicity

Student's Home Address(Required)

Street Address Address Line 2 City State ZIP Code

Student's Billing Address

(If different from home address.)

Street Address Address Line 2 City State ZIP Code

County

Home Phone

Biological/Adoptive Information

Father's Legal Name(Required)

First Last

Marital Status(Required)

Employer(Required)

Occupation(Required)

Home Phone(Required)

Cell Phone(Required)

Email(Required)

Applicant Lives With(Required)

Yes

Mother's Legal Name(Required)

First Last

Marital Status(Required)

Employer(Required)

Occupation(Required)

Home Phone(Required)

Cell Phone(Required)

Email(Required)

Applicant Lives With(Required)

Yes

Step-Parent, Guardian Information if Applicable

Name

First Last

Marital Status

Employer

Occupation

Home Phone

Cell Phone

Applicant Lives With(Required)

Yes

Relationship

Name

First Last

Marital Status

Employer

Occupation

Home Phone

Cell Phone

Applicant Lives With(Required)

Yes

Relationship

IN CASE OF EMERGENCY, IN ADDITION TO PARENTS CALL

Name

First Last

Phone

Relationship

Name

First Last

Phone

Relationship

PLEASE EXPLAIN ANY ADDITIONAL CIRCUMSTANCES

Church Information

Church Name(Required)

Pastor's Name(Required)

First Last

Church Phone(Required)

Pastor's Email(Required)

A form for your pastor to fill out will be emailed to them. Please make sure they fill this out.

Church Address(Required)

Street Address Address Line 2 City State ZIP Code

Does the applicant have a salvation testimony?(Required)

Yes

Is applicant a church member?(Required)

Yes

Applicant's Church attendance?(Required)

Regular

Seldom

Never

General Medical Information

Physician

Phone

Please explain any disabilities/allergies:

Condition of Student's Health

Excellent

Good

Poor

Please explain student's health:(Required)

School Information

Last School Attended

School Phone

School Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Has applicant ever repeated a grade?

Yes

Which Grade?(Required)

Please explain:(Required)

Has applicant ever been expelled?

Yes

Has applicant ever been suspended?

Yes

Please explain:(Required)

Has applicant ever had academic, disciplinary, or behavioral problems at school?

Yes

Please explain:(Required)

Has applicant ever been in trouble with the law?(Required)

Yes

Please explain:(Required)

Please upload a copy of your child's most recent academic record (report card).

Max. file size: 256 MB.

Grandparent Information

Parental Grandfather

First Last

Parental Grandmother

First Last

Phone

Address

Street Address Address Line 2 City State ZIP Code

Maternal Grandfather

First Last

Maternal Grandmother

First Last

Phone

Address

Street Address Address Line 2 City State ZIP Code

AGREEMENTS FOR PARENTS AND STUDENTS(Required)

THIS PAGE MUST BE SIGNED BY ALL PARENTS OR GUARDIANS. IN ADDITION, ALL STUDENTS MUST READ OR HAVE READ THE CURRENT STUDENT POLICY MANUAL. BY SIGNING THIS AGREEMENT, I AGREE TO ALL OF THE FOLLOWING POLICIES, PROCEDURES, AND PERMISSIONS: The information provided by me in this application is, to the best of my knowledge, accurate and true. I realize that falsification of information may be grounds for a student’s dismissal. Permission is granted to use reasonable discipline to correct my child. Permission is granted for my child to participate in any school-sponsored field trips or educational trips. Students will ride on school-approved transportation, and the rules listed in the Student Policy Manual will apply. Permission is granted for Greater Beckley Christian School to submit to the State of West Virginia, on my behalf, any attendance records needed to comply with the Compulsory Education Law. Permission is granted for Greater Beckley Christian School personnel to secure any medical attention they deem necessary for my child in the case of an emergency. In case of an accident or serious illness, I request the school to contact me. If the school is unable to reach me, I hereby authorize the school to call the physician indicated in the application and to follow his/her instructions. If it is impossible to contact this physician, the school may make whatever arrangements necessary. I agree to honor all financial obligations regarding my child’s tuition at GBCS in a timely manner. I understand that failure to do so may result in dismissal of my student and my account being turned over to a collection agency. I also understand that my child’s final grade card will be withheld and records will not be transferred to any other learning institution until all accounts are paid in full. I hereby affirm that I have read the Student Policy Manual and discussed its policies with my student. I certify that I consent to and will submit to all governing policies of the school, including policies regarding family, marriage, gender, sexuality, and the sanctity of human life. I understand that the standards of the school do 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 the services of the school are engaged by mutual consent, and that either the school or I reserve the right to terminate any or all services at any time. I understand that this Student Policy Manual does not contractually bind Greater Beckley Christian School and is subject to change without notice by decision of Greater Beckley Christian School’s governing body. Admission to the school is a privilege, not a right, and admission for one school year does not guarantee automatic admission for future school years.

I AGREE TO ALL OF THE POLICIES, PROCEDURES, AND PERMISSIONS.

Enrollment Form – 6 – 12

Enrollment Form Grades 6 – 12

Student Fees

Description of Registration Fees

Student Information

Biological/Adoptive Information

Step-Parent, Guardian Information if Applicable

IN CASE OF EMERGENCY, IN ADDITION TO PARENTS CALL

Church Information

General Medical Information

School Information

Grandparent Information

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