Red Lion Christian School
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RLBC
PCAC
KCEA
Red Lion Christian School
About
Academics
Admissions
Notice
Enrollment Steps
Tuition & Fees
Athletics
Parent Central
Myschoolworx
News & Events
Resources
Scholarships
Summer Day Care
Support
RLBC
PCAC
KCEA
Enrollment Application
Enrollment Application
Student Online Application for Admission
Application Date
*
MM
DD
YYYY
Grade Applying for:
*
Pre-K
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
Last Grade Completed:
*
Pre-K
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
STUDENT INFORMATION
Child's Name
*
First Name
Last Name
Child's Birth Date
*
MM
DD
YYYY
Child's Gender
*
Boy
Girl
Child's Age
*
Child's Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Home Phone
*
(###)
###
####
School District
*
Name of School Currently Attending
*
For Kindergarten Only
Child will be:
Half Day
Full Day
FAMILY INFORMATION
Father's Name
*
First Name
Last Name
Father's Cell Phone
*
(###)
###
####
Father's Address (If Different)
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Father's Email
*
Father's Employer
*
Father's Work Phone
(###)
###
####
Father's Work Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Mother's Name
*
First Name
Last Name
Mother's Cell Phone
*
(###)
###
####
Mother's Address (If Different)
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Mother's Email
*
Mother's Employer
*
Mother's Work Phone
(###)
###
####
Mother's Work Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Parent's Marital Status
*
Married
Widowed
Divorced
Remarried
Separated
Does Child Live with both Parents?
*
If not, indicate with whom the child lives.
Other Children in the Family
*
Child's Name, Age & School
MEDICAL INFORMATION
In case of an emergency requiring a doctor’s care and neither parent can be reached, we will contact your family doctor. Please furnish the following information.
Doctor's Name
*
Doctor's Phone
*
(###)
###
####
List any Allergies or Restrictions
*
CHURCH INFORMATION
Church Attending
Pastor's Name
SCHOLASTIC & DISCIPLINARY INFORMATION
Has your child ever been dismissed, suspended, or refused admission/reenrollment to another school?
*
If yes, explain:
Has your child ever had any disciplinary difficulties?
*
If yes, explain:
Has your child ever been moved ahead or held back a grade in school?
*
If yes, explain:
Is your child currently following an I.E.P. at their present school?
*
If yes, explain:
Has your child ever been diagnosed with a learning disability?
*
If yes, explain:
How did you hear about Red Lion Christian School?
*
CONFIRMATION
*
By checking the box below, I am acknowledging that I have read the school handbook and agree to uphold the school’s policies in all matters discussed therein and to have my child/children trained in accordance with these spiritual, academic and disciplinary guidelines.
YES, I AGREE
Date Submitted
*
MM
DD
YYYY
Thank you!
