E-Mail:
 		Phone:
 		Date:
 		 
Full/Part Time:
 		SS#:
 		Sex:
Child's Full Name
 		Father's Full Name
 		Mother's Full Name
Street:
 		City:
 		Zip:
   
School discrict in which child resides:
 		Date of Birth
Name of church where child attends:
Has this child repeated a grade?
Birthplace:
 		If yes, what grade?
Grade to be entered:
 		Date to be entered:
 
     
Please list all previous schools atteneded.  
     
Name of School/Address:
 		Grade and Year:
 		Principal:
Name of School/Address:
 		Grade and Year:
 		Principal:
Name of School/Address:
 		Grade and Year:
 		Principal:
     
Has your child ever recieved any special services within the school setting that has assisted your student in
their learning? Please Explain.
     
Is there anything about your student’s learning profile that would assist us in meeting your educational
goals? If yes, please explain further.
     
Our mission is to assist you, the parent, in the Biblical education and discipleship of your child. Are there
any areas that you can share that would help us to better reach that mission?
     
Has your child ever been dismissed, suspended, or disciplined at any school? If yes, please explain and
provide the date and name of school.
     
Why do you want your child or children to attend Freedom Christian Schools?
     
Testimony: Please state how you received Christ as your personal Saviour, when, and His meaning in your
life to the present time. It is requested that both the Father and Mother give their testimonies. The application
is not complete without this.
     
Father:
 		Mother:
 		 
Address:
 		Address:
 		 
Phone:
 		Phone:
 		 
Employer:
 		Employer:
 		 
Position:
 		Position:
 		 
Education:
 		Education:
 		 
Father's Marrital Status:
Mother's Marrital Status:
  
Church Affiliation:
 		Church Affiliation:
 		 
Pastor:
 		Pastor:
 		 
Have you personally received Jesus
Christ as your Saviour and Lord?
Have you personally received Jesus
Christ as your Saviour and Lord?
 
     
Please name all of your children    
Full Name:
 		Date of Birth:
 		Present Grade:
Full Name:
 		Date of Birth:
 		Present Grade:
Full Name:
 		Date of Birth:
 		Present Grade:
Full Name:
 		Date of Birth:
 		Present Grade:
Full Name:
 		Date of Birth:
 		Present Grade:
     
Are you applying for the admission of all children of school age? If not, please state reasons:
     
Please complete the grandparent information for the purpose of sending our quarterly newsletter and other information.
Paternal:
Address:
Email:
Phone:
     
Maternal:
Address:
Email:
Phone:
Are you aware of the tuition costs for this school year?
Have you received and read the FCS Parent/Student Handbook?
Do you agree to uphold the standards for student conduct as presented in the Parent/Student Handbook?
Do you agree with and affirm the Home-School Covenant?
     
Initials of Parent or Guardian: