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Reenrollment

Student Reenrollment

Student's Name:

Email:

Phone:

Address:

City:

State:

ZIP:

Birth Date:

Gender:

Age:

Grade Entering

Mother/Guardians Name

Father's Name

Address information the same as above?

Yes

Skip if yes

If "Yes", skip address info below.

Address:

City:

State:

ZIP:

Phone:

Work Phone:

Email:

Person responsible for tuition payment:

Address information same as above?

Yes

Skip if yes

If "Yes", skip address info below.

Address:

City:

State:

ZIP:

Phone:

Work Phone:

Emergency Contact Name:

Emergency Contact Phone:

*Church student is a member of:

Pastor's name:

Pastor's phone:

Uniform Information

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:

Church membership note

*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 Any high school student who does not abide by this rule will be withdrawn from school.

Agreement

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 Signature:

Date:

Thanks for completing the Student Reenrollment application. We'll be in touch soon with more information.

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510.230.4902
principal@arlingtonchristianschool.org

6382 Arlington Blvd,
Richmond, CA 94805

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Student Reenrollment