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Enrollment Form (Preschool-Kindergarten)

* Indicates required field

Student Last Name *

Student Middle Name/Initial *

Student First Name *

CHILD'S SOCIAL/DEVELOPMENT INFORMATION:

Is this the child's first separation from home? *

Yes No

Has child had any kind of group experience? *

Yes No

Does child make friends easily? *

Yes No

Does child usually *

Play alone Play with others?

Is child completely potty trained? *

Yes No

What time does child

get up in the morning? *

go to bed at night? *

Does child usually take an afternoon nap? *

Yes No

Does child usually have between-meal snacks? *

Yes No

Any food dislikes? *

Yes No

List food dislikes *

Any food allergies? *

Yes No

List allergies *

Usual time of meals at home *

Breakfast Lunch Dinner

Does child have any fears? *

Yes No

List fears *

Any family, personal, or other problems that may affect or influence child's behavior? *

Yes No

If yes, please identify. This will be kept absolutely confidential but is very important in being able to help your child. *

Has your child had any disciplinary difficulties (home or other)? *

Yes No

Any medical problems affecting behavior? *

Yes No

List medical problems *

GENERAL, WAIVER FOR TRANSPORTATION (FIELD TRIPS, ATHLETIC EVENTS, ETC.)

My child has my permission to go on any and all trips and to participate in any and all activities, along with other children from Valley Christian Heritage School, Inc., during his/her entire enrollment in the school. In consideration of my child being permitted to make such trips and take part in such activities and the instruction each child will receive by reason thereof, I hereby release VCHS, its trustees, officers, administrators, faculty, and/or staff members, together with any volunteer carrier of such child without compensation, from any and all liability and responsibility in connection with such trips and activities, and hereby release all of said parties from all liability by reason of any accident or injury suffered by said child while on said trips or engaged in such activities. I further assume all responsibility for my child's actions and all behavior on such trips and activities.

Full Name of Mother or Guardian in Lieu of Signature *

Full Name of Father or Guardian in Lieu of Signature (if none state None) *

Date Signed *

NOTE: No child will be allowed to participate in any of the above-mentioned activities and/or trips unless the above form is completed. The form will be kept on file as required by state law. Notification will be given before ANY trips are taken; an additional permit stating approval or attendance for each specific trip is to be signed and returned to the school prior to each activity. However, if a child forgets the permit, he/she will be allowed to go, and THIS form (on file) will serve for information.

TIME FOR ATTENDANCE:

Please check all that apply. *

Early morning childcare (7:00-7:45) Morning classes (7:45-11:45) Afternoon activities (noon-4:00) Afternoon childcare (4:00-6:00)

CHILD FINGERPRINTS (for Child Find):

You may attach a photo or pdf print of each finger of your child or they will be taken at school. This MUST be a photo or pdf of the print and not the finger.

Left little finger *

Max file size: 20MB

Left ring finger *

Max file size: 20MB

Left middle finger *

Max file size: 20MB

Left index finger *

Max file size: 20MB

Left thumb *

Max file size: 20MB

Right thumb *

Max file size: 20MB

Right index finger *

Max file size: 20MB

Right middle finger *

Max file size: 20MB

Right ring finger *

Max file size: 20MB

Right little finger *

Max file size: 20MB

Submit

Valley Christian Heritage School
932 N Alamo Rd
Alamo, Texas 78516
Phone 956.787.9743
Fax 956.787.1977
Website by PS Tech Group
Privacy Policy

Accredited by National Christian School Association since 1991.
The association is recognized by Texas Education Agency and Texas Private Schools Accreditation Commission.
VCHS does not discriminate on the basis of creed, race, sex, or religion.