Application 2020-2021

Faithful Friends Christian Academy

Rendering a compassionate and enjoyable learning Environment

Kimberley Dickerson, Founder & Director

Date of Application ___________

Preschool Application

*Specifies required information

STUDENT INFORMATION

*Child’s Last Name:_________________ *Child’s First Name:__________________

*Date of Birth:______________________ *Gender (circle): Male Female

Sibling Name(s) and Age(s):____________________ _______________________

____________________ _______________________­­

*With whom does the child reside? (circle):

Mother & Father Mother Father Other (please indicate)__________________

*Special needs or concerns:_______________________________________________

______________________________________________________________________

PARENT OR GUARDIAN INFORMATION

*Father’s Name:__________________________ *Phone Number:_____________(H)

*Address:_______________________________ Phone Number:_____________(W)

E-mail:_________________________________ Cell Phone:________________

*Mother’s Name:_________________________ *Phone Number:_____________(H)

*Address:_______________________________ Phone Number:____________(W)

E-mail:_________________________________ Cell Phone:_______________

*Is there a divorce or custody situation that we should be aware of?________________

*If yes, please explain:____________________________________________________

How did you hear about our school?:________________________________________

PHYSICAL DEVELOPMENT/HEALTH HISTORY:

*Please indicate any allergies or specific medical instructions:________________

______________________________________________________________________

______________________________________________________________________

*Is your child receiving any professionally prescribed treatment? Yes No

*If so, please explain:_____________________________________________________

______________________________________________________________________

______________________________________________________________________

*Shows tendency toward (circle): right hand left hand

*Language(s) spoken in the home?__________________________________________

*Child’s primary language:_________________________________________________

EMERGENCY CONTACT INFORMATION

*List any person to be contacted in the event of an emergency and none of the parents are able to be reached:

Note: Please only use local contacts for pick-ups.

*Name:____________________________ *Phone Number:_____________________

*Name:____________________________ *Phone Number:_____________________

*Physician:_________________________ *Phone Number:____________________

CLASSES, TUITION AND FEES

Classes will be filled on a first come basis.

*Please mark appropriate class time.

_____     Tuesday/Thursday (2 day Freshman Class)

Morning class: 9:00 – 11:30 a.m.

Age:  3 years old (must be 3 by January 1)

Cost: $650 ($130.00/Month)

_____      Monday, Wednesday, Friday (3 day Junior Kindergarten)

Morning class:  9:30 a.m. – 12:00 p.m.

Age: 4 years old

Cost: $1280 ($160.00/Month)

_____     Monday – Friday (5 day Junior Kindergarten)

Morning Class: 9:15 – 11:45 a.m.

Age: 4 & 5 years old (must be planning to attend Kindergarten in 2020)

Cost: $2000 ($250.00/Month)

 

          Monday – Thursday Lunch Bunch

 (Please indicate if you are interested in this program)

Time: 12 p.m. – 1 p.m.

Cost: $10 per day

Lunch Bunch is an opportunity for children to enjoy play time, while having lunch with friends.  Preschoolers should bring to school a NUT FREE packed lunch. 

 

FINANCIAL AGREEMENT AND REGISTRATION POLICY

FINANCIAL AGREEMENT

We hereby agree to pay tuition. We understand that tuition is based on a full school calendar year and, for convenience, the tuition may be made in nine equal monthly payments. We are aware that tuition is due the first of the month, one month in advance. (i.e. payments for Oct. must be received by Sept. 1^st.) and payments received after the 15^th of the month will incur a $10.00 late fee. We realize that there are no refunds or credits for temporary absences due to personal vacations, illness and withdrawal.

REGISTRATION POLICY

A $50.00 non-refundable registration fee is required with this application in order to secure placement for enrollment. A NON-REFUNDABLE first tuition payment is due no later than June 1, 2020.

ACTIVITY AGREEMENT

I acknowledge that as a student at Faithful Friends Christian Academy, my child may be photographed and that the photos may be used on both the FFCA website and Facebook page.

Additionally, I understand, weather permitting, my preschooler will regularly walk to the West Lawn playground, as well as visit the West Lawn Library.

_________________________________________ _______________________

Parent/Guardian Signature Date

_________________________________________ _______________________

Parent/Guardian Signature Date

Faithful Friends Christian Academy

15 Woodside Ave

West Lawn, PA 19609

faithfulfriendsca@gmail.com

(484) 525-3501