Re-Enrollmentt

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Re-Enroll My Child

Student's Name:

Email:

Phone:

Address:

City:

State:

Zip:

Birthday:

Gender:

Mother/Guardian's Name:

Father's Name:

Address information same as above?

Yes No

If "Yes", skip address info below.

Address:

City:

State:

Zip:

Phone

Work Phone:

Email:

Person responsible for tuition payment.

Emergency Contact Name:

Emergency Contact Phone:

Church student is a member of:

Pastor's Name:

Pastor's Phone:

Uniform Information: In order to have the proper stock of uniforms for the student body; please indicate your child’s uniform size they will most likely fit for the upcoming school year.

Shirt / Sweatshirt Size:

Please note that all 9 -12 graders must be an active member of an approved church while attending A.C.S. A letter of recommendation from their church’s senior Pastor. They must attend at least two services a week of which one of those services is a Sunday service. Any high school student who does not abide by this rule will be withdrawn from school.

I agree to pay the $250 non-refundable fee in order to secure my child's spot.

I realize that attending Arlington Christian School is a privilege and not a right. It is my intention to abide by the decisions and support the discipline of the administration. I hereby certify that this application is true and complete with no omissions in any area. I also understand that any untrue statement on this application will make my child subject to immediate dismissal from the school.

I have read and agree to abide by the Student Handbook:

Yes

Parent's Signature:

Date: