Valley Christian Heritage School
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Application for Admission
All information must be completed or application will be denied. To secure a reserved place for your child, the completed forms and required deposit must be submitted to the Administrator. This is an earnest agreement. Registration and payment of fees contracts with VCHS to reserve a place for the student; all fees are non-refunfable.
STUDENT INFORMATION:
*
Indicates required field
First Name
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Middle Name or Initial
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Last Name
*
Goes by Name
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Current Date
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Current Age
*
Gender
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Male
Female
Date of Birth
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Home Street
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Home City
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Home State
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Home Zip
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Mailing (if different)
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Mailing City
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Mailing State
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Mailing Zip
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School Last Attended/None
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School City
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School State
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Father First Name
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Father Last Name
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Father Phone Number
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Father Occupation
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Father Employer
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Father Email
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Mother First Name
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Mother Last Name
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Mother Phone Number
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Mother Occupation
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Mother Employer
*
Mother Email
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Other Emergency Contact
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Relation to Student
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Other Contact Phone Number
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Other EC Street Address
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Other EC City
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Other EC State
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Other EC Zip
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Names & Ages of Siblings
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Religious Preference/Church Affiliation
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City of Birth
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County of Birth
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State of Birth
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Height
*
Weight
*
Social Security Number
*
CHILD PICKUP INFORMATION:
No one, other than those listed below, will be permitted to pick up your child unless you notify us in writing. State law requires that a student is to be released only to a parent or an adult designated by the parent. We do require legal identification if we are not acquainted with the person who comes to pick up your child. Driver's license will be asked for; so please alert those picking up your child.
List people authorized to pick up your child from school.
*
Registering for What Grade Level
Pre-School
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PK 3
K 4
All Day
1/2 Day
Part-Time
Elementary
*
K 5
Grade 1
Grade 2
Grade 3
Grade 4
Intermediate
*
Grade 5
Grade 6
Junior High
*
Grade 7
Grade 8
Senior High
*
Grade 9
Grade 10
Grade 11
Grade 12
RELEASE TO PUBLISH PHOTOS OF STUDENTS:
From time to time, we release photos of students in various activities (sports, classrooms, honors, etc.) for publication in newspapers, school newsletters, on our school website, etc. If you do not wish to have your child's photo published, let us know by responding here. Check to "grant" or "deny" in the space provided.
Parent/Guardian choice of using student photos
*
Grant permission to VCHS
Deny permission to VCHS
Parent/Guardian Full Name in Lieu of Signature
*
Date Signed
*
ALL NEW STUDENTS:
Please tell us how you found out about our school.
*
ALL NEW STUDENTS IN GRADES 3 AND HIGHER:
Write an essay telling why you want to be accepted as a student at VCHS. This must be in the handwriting of the student. You may scan it and attached it, or you may mail or deliver it to the school.
Scan of handwritten essay
*
Max file size: 20MB
Submit a letter of recommendation from your minister or a former teacher. You may scan it and attach it, or you may mail or deliver it to the school.
Scan of Letter of Recommendation
*
Max file size: 20MB
FOR OFFICE USE ONLY:
Level
*
PS
K
EL
JH
SR
New/Returning
*
New
Returning
2
*
A
E
M
C
Es
LR
T
R
3
*
E
O
S
T
LC
Schl
Submit
Home
About Us
Our Mission
Our Faculty
Contact Us
Privacy Policy
Curriculum
Enrollment
Testimonials
Sponsors
Photos
News about VCHS