Valley Christian Heritage School
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Enrollment Form (Preschool-Kindergarten)
*
Indicates required field
Student Last Name
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Student Middle Name/Initial
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Student First Name
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CHILD'S SOCIAL/DEVELOPMENT INFORMATION:
Is this the child's first separation from home?
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Yes
No
Has child had any kind of group experience?
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Yes
No
Does child make friends easily?
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Yes
No
Does child usually
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Play alone
Play with others?
Is child completely potty trained?
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Yes
No
What time does child
get up in the morning?
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go to bed at night?
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Does child usually take an afternoon nap?
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Yes
No
Does child usually have between-meal snacks?
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Yes
No
Any food dislikes?
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Yes
No
List food dislikes
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Any food allergies?
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Yes
No
List allergies
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Usual time of meals at home
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Breakfast
Lunch
Dinner
Does child have any fears?
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Yes
No
List fears
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Any family, personal, or other problems that may affect or influence child's behavior?
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Yes
No
If yes, please identify. This will be kept absolutely confidential but is very important in being able to help your child.
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Has your child had any disciplinary difficulties (home or other)?
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Yes
No
Any medical problems affecting behavior?
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Yes
No
List medical problems
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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
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Full Name of Father or Guardian in Lieu of Signature (if none state None)
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Date Signed
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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.
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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
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Max file size: 20MB
Left ring finger
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Max file size: 20MB
Left middle finger
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Max file size: 20MB
Left index finger
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Max file size: 20MB
Left thumb
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Max file size: 20MB
Right thumb
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Max file size: 20MB
Right index finger
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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
Home
About Us
Our Mission
Our Faculty
Contact Us
Privacy Policy
Curriculum
Enrollment
Testimonials
Sponsors
Photos
News about VCHS