gcs whale Grace Community Schools Enrollment Application gcs whale
(Fill out this form and click the print button at the bottom to print)
Child's Name:
 
 
 
Birth Date: Sex: Social Sec.#
Mother Father
Name:
Name:
Address: Address:
   
Home Phone: Home Phone:
Work Phone: Work Phone:
Cell Phone: Cell Phone:
Social Security #: Social Security #:
4-Digit PIN 4-Digit PIN
       
       
Emergency Contacts / Persons Permitted to Pick up Child
(Other than Parents)
Name: Phone #:
Name: Phone #:
Name: Phone #:
Name: Phone #:
       
Special Instructions
       
Parents Agreement

I hereby give my consent to have my child treated by a physician for medical or surgical care should an emergency arise. I understand that every effort will be made to contact me or a relative before such action is taken.
I agree to pay the amount due in advance, on a weekly basis, for the time my child is enrolled. I understand that I may withdraw at any time by notifying the school one week in advance. Withdraw is effective the Friday of the week of notification, and all other fees are payable upon other absences.
I have read the policies of Grace Community Schools, and agree to abide by the regulations set forth in them, Including the obligation to confer with the school first if I have any questions or problems.

Date

Parent or Guardian Signiture