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Congratulations on being accepted to Alpine Christian School! We are excited to have your child on campus. The next step in the process is for you to complete the New Student Enrollment Form below.

Student Information - Step 1 of 7

Student Name *

First

Last

Preferred Name

Grade Entering

Bridge K
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th-12th Grade

Student's Date of Birth *

Student's Social Security Number *

Student's Home Street Address *

Student's Home City *

Student's Home State *

Zip Code *

Student's Home Phone *

Student's Gender *

Student's Ethnicity *

Student Citizenship *

Name of Caregiver #1: *

First

Last

Caregiver #1 Gender *

Relationship to Student *

Custodial Rights? *

Note: If the biological parents are divorced then the school must have a copy of the divorce decree signed by a judge and provided with the decree pages which indicate custody placement. Please submit this with your re-enrollment.

Financial Responsibility?

Marital Status *

Email *

Cell Phone *

Work Phone

Employer's Name *

Occupation

Employer's Street Address

Name of Caregiver #2

First

Last

Caregiver #2 Gender

Relationship to Student

Custodial Rights?

Financial Responsibility?

Marital Status

Cell Phone

Work Phone

Employer's Name

Occupation

Employer's Street Address

Does the applicant have a parent/guardian that lives at another address?

Address of Other Parent/Guardian:

Address Line 1

Address Line 2

City

State

Zip Code

Name of Emergency Contact #1: *

First

Last

Phone Number for Emergency Contact #1: *

Relationship to Student: *

Authorized to Pick-up from School?

Name of Emergency Contact #2: *

First

Last

Phone Number for Emergency Contact #2: *

Relationship to Student: *

Authorized to Pick-up from School?

Sibling #1

First

Last

Date of Birth

Sibling #2

First

Last

Date of Birth

Sibling #3

First

Last

Date of Birth

Please list first and last names of all authorized people to pick-up your child and their relationship to your child (grandparent, sister/brother, aunt/uncle, friend): *

Family Doctor: *

First

Last

Doctor Phone Number:

Insurance Company Name: *

Policy #:

Group #:

Permission to Treat: *

By checking "Yes", I hereby agree to release Alpine Christian School, its representatives, agents, and employees from liability for any injury to the named person, resulting from any cause whatsoever occurring to the named person at any time while participating in school activities, including travel. I do voluntarily authorize the Alpine Christian School and designee to administer and/or obtain routine or emergency diagnostic procedures and/or routine or emergency treatment for the named person as deemed necessary in medical treatment. I agree to indemnify and hold harmless Alpine Christian School, and said designees for any and all claims, demands, actions, rights of action, and/or judgments by or on behalf of the named person arising from or on account of said procedures and/or treatment rendered in good faith and according to accepted medical practices.

Does your child have any existing medical conditions? *

Does your child have any known allergies? *

Please list allergies and reactions to them:

Is your child taking any medications? *

Please list medications and frequency.

Do you give permission for Alpine Christian School to medicate your child with Tylenol or Ibuprofen? *

Does your child have any physical restrictions? *

Please list physical restrictions and explain:

Will your child need before-school or after-school childcare? *

What tuition payment schedule would you prefer for the 2023-2024 school year? (Select One)

One Payment August 1, 2024 or Upon Enrollment (5% Discount)
Semester Payments August 2024 & January 2024 (2% Discount)
10 Payments Beginning August 2024
12 Payments Beginning June 2024
Monthly Payments Beginning Month of Enrollment through May 2025

Additional discounts available: Multi-child Discount 10% each additional full tuition child and/or Referral Discount (10% for any referred new enrolled referral paying full tuition)

Do you plan to apply for tuition assistance? *

By applying for and receiving tuition assistance, parents understand their obligation to volunteer at least 10 hours at Alpine Christian School during the school year. Volunteering may include attending PTF meetings each quarter, time in the classroom reading to students, helping with the Annual Fundraiser, working in the Library, etc. Depending on the amount of tuition assistance awarded, families may be required to volunteer more hours during the year.

Alpine Christian School's primary source of income is tuition. It is vital that all ACS families understand their financial commitments to the school and faithfully pay all tuition and other fees on time. CONSEQUENCES OF DELINQUENT ACCOUNTS: Tuition payments are due on the 15th of each month. A $25 late fee will be charged if payment is made after the 15th of the month. *

Caregiver #1 Understands
Caregiver #2 Understands

ENROLLMENT FEE: I/we understand that the enrollment fee is due to ensure that my child will have a position at Alpine Christian School for the 2024-2025 school year. *

Caregiver #1 Understands
Caregiver #2 Understands

NON-REFUNDABLE: I/we understand that the enrollment fee is not refundable unless my child is denied admission at Alpine Christian School, or Tuition Assistance applied for is insufficient to meet our family's needs. *

Caregiver #1 Understands
Caregiver #2 Understands

WITHDRAWAL: Parents who withdraw their child from ACS during the school year are expected to give a 30-day written notice, pay a $450.00 withdrawal fee, and must complete the withdrawal paperwork located in the school office. Tuition refunds will be determined on a prorated basis, which will depend on the exact day the student withdraws and the date that is on the withdrawal paperwork. *

Caregiver #1 Understands
Caregiver #2 Understands

REFUND POLICIES: Upon termination of enrollment, tuition will be pro-rated based on the number of school days attended. The pro-rated tuition, minus the 30-day notice given and the withdrawal fee, will be compared to the amount of tuition paid, leaving either a refund due to the school family or a payment due by the school family. *

Caregiver #1 Understands
Caregiver #2 Understands

UNIFORMS: All students are required to order school uniforms through the school. The school will not refund money for the school uniforms that are not used or do not fit. It is the responsibility of the parents to order the proper sized clothing for their children. *

Caregiver #1 Understands
Caregiver #2 Understands

REGISTRATION FOR NEXT YEAR: I have been informed that no student will be allowed to register for the following academic year until all financial obligations for the prior year are complete with ACS. *

Caregiver #1 Understands
Caregiver #2 Understands

5TH - 12TH GRADES: I/we understand that upon Alpine Christian School's acceptance of this student's application for re-enrollment, a financial contract regarding students attending 5th-12th grades must be agreed upon and signed by parents/guardians to complete enrollment process. *

Caregiver #1 Understands
Caregiver #2 Understands

PHOTOGRAPHS: As a parent or guardian of this student, I hereby consent to the use of photographs taken during the course of the school year. As it pertains to the use of these photos for publicity, promotional, and/or education purposes (including print publications, school web site, school Facebook/Instagram or other media sources), I give full consent for my child to be photographed and their photos used as described above. *

Note: All students will be photographed for the yearbook, and their photos will be included in the yearbook along with their names. If there is a legal reason your student should not/cannot have their photo and/or name listed in the yearbook, please contact the school office to let us know of the circumstances as well as providing the legal documentation stating the details of the limitations. This allowance of photographs being taken also waives all claims for compensation for use or for damages.

WALKING TO/FROM SCHOOL: Do you give permission for your child to walk to and from school? *

TRANSPORTATION: I give permission for my child to be transported to and from field trips or other special events or activities that I will be notified of in advance. I agree to waive and release all claims, present or future, for damage, injury or loss to the student of the student’s property which may be caused by any act, or failure to act, by Alpine Christian School, its administrators, teachers, employees, agents, students, parents, or others acting on the school’s behalf and agree to not sue for relief arising from such claims. *

APPLICATION COMMITMENT: To the best of my/our knowledge, all information provided on this Enrollment Form is true and correct. (Initials Here)

STATEMENT OF COOPERATION: We/I hereby make application for my child to attend Alpine Christian School (referred to as "school"). In making this application, I/we understand and agree to comply with and abide by the provisions of the Parent/Student Handbook and the rules and standards set out therein, including, but not limited to the following: 1) I/we agree to cooperate with the school policies and procedures and to pray for the school personnel. I agree to publicly support the school and bring whatever concerns I/we have to the proper individual as per school policy and procedures; 2) I/we agree to cooperate with the school's policy and dress code and understand I/we will be held accountable for my child's adherence to that policy; 3) I/we agree that my child and I/we will represent the school well. This includes behavior off-campus and during school-sponsored activities such as field trips and after school activities. *

Caregiver #1 Agrees
Caregiver #2 Agrees

Alpine Christian School has the right to dismiss any student who does not respect the School's academic and behavioral standards or does not cooperate in the educational process. The School has full discretion to discipline students according to the guidelines of Alpine Christian School Code of Conduct.

FAMILY STANDARDS: Alpine Christian School is a religious institution providing a classical education in a distinct Christian environment. On those occasions in which the atmosphere or conduct within a particular home is counter to or in opposition to biblical standards the school teaches, the school reserves the right, within its sole discretion, to refuse admission of an applicant or to discontinue enrollment of a student. This includes, but is not limited to: living in, condoning, or supporting illegal activities, sexual immorality, homosexual acts or other sexual orientation, gender identity different from one's biological gender, promoting such practices, or otherwise the inability to support the moral principles of the school (Leviticus 20:13, Romans 1:27, Matthew 19:4-6). *

Caregiver #1 Agrees
Caregiver #2 Agrees

Signature for INDIVIDUAL ACKNOWLEDGEMENT (Caregiver #1): The electronic signature below and their related fields are treated by Alpine Christian School like a physical handwritten signature on a paper form. My signature affirms that to the best of my knowledge the information in this application is accurate. I also understand misrepresentation could invalidate the application process.

Clear Signature

Date / Time

Date

Time

Signature for INDIVIDUAL ACKNOWLEDGEMENT (Caregiver #2): The electronic signature below and their related fields are treated by Alpine Christian School like a physical handwritten signature on a paper form. My signature affirms that to the best of my knowledge the information in this application is accurate. I also understand misrepresentation could invalidate the application process.

Clear Signature

Date / Time *

Date

Time

Please provide the following items to Administration Office :

Check for Enrollment Fee
Birth Certificate
Immunization Record or Waiver
Grade Reports from Previous School, if applicable
Transcript from Previous Schools, if applicable
Most Recent Standardized Testing Results
Copies of 504 or IEP
Signature Page of Parent Handbook
Income Verification to Request Tuition Assistance
Parental Rights Documentation, if applicable

These items must be provided to Administration prior to student beginning classes at Alpine Christian School.

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New Student Enrollment Form

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