GCS Preschool Application 2016-2017 Preschool Tuition/Fee Schedule 2017-2018 Preschool Tuition/Fee Schedule Please fill out as completely as possible (or download and print for mailing). Student's Legal Name: Nickname: Birthdate (mm/dd/yyyy): Age: ---4 yrs. old (3 days/week)3 yrs. old (2 days/week) Girl or Boy: ---GirlBoy Address: Home phone: City: PA Zip: Email: Home Church: Pastor: Church Address: City: Zip: Legal Guardian (if applicable): Father's Name: Cell phone: Address: Occupation Place of Employment: Work Ph: Mother's Name: Cell phone: Address: Occupation Place of Employment: Work Ph: Student's siblingsName: Birthdate (mm/dd/yyyy): Name: Birthdate (mm/dd/yyyy): Name: Birthdate (mm/dd/yyyy): The following persons have authorization to pick up student from school: Name: Relationship: Name: Relationship: Name: Relationship: Does your child have playmates his/her age? ---yesno Please give any additional information that may help in understanding your child. (Habits, temperaments, special needs, etc.) Medical Concerns and/or diagnosis? Custody Arrangments? GCS must have a copy of legal action if custody has been awarded by court action. Has your child previously attended preschool? ---yesno Where? My child is up-to-date on all current immunizations: ---yesno If you are applying to GCS because of someone's direct personal reference and encouragement, please give us his/her name: Grace Christian School welcomes all applicants who have a desire for a fundamental Christian education regardless of race, color, sex, or ethnic origin. GCS is not equipped to handle special needs children. Please mail a non-refundable application fee of $20 made payable to Grace Christian School to: 215 Arthur Street, Kittanning, PA 16201. Questions can be directed to Darlene Edwards at email@example.com **Monthly tuition payments are due the first of each month and a late fee of $30 will be charged when payment is made after the 10th of the month. Exceptions to this may be made if unforeseen changes occur in a family's financial situation and written permission has been sought and received from the administrator. Even if such permission is given, a late fee of $30 will be charged each month until payment has been made. Payments over 30 days late will result in suspension of the student the first day of the following month until the account is brought up to date. A copy of your application will be sent to the email you provided.