Sibling Application (Preschool) - Christian Heritage Academy

HOUSEHOLD INFORMATION

Household Last Name*

Please enter the one last name that your family is referred to in our records.

STUDENT APPLICANT INFORMATION

Preferred Name*

Is there a (nickname) that your child generally goes by with family and friends?

PARENT/GUARDIAN INFORMATION

FATHER or MALE GUARDIAN

Father's/Male Guardian's Phone

Father/Male Guardian's Email

What church do you attend?

Please include campus and/or location.

PARENT/GUARDIAN INFORMATION

MOTHER or FEMALE GUARDIAN

Mother's/Female Guardian's Phone

Mother's/Female Guardian's Email

What church does Mother/Female Guardian attend?

Please include campus and/or location.

DEVELOPMENTAL RECORD

Was there any difficulty at birth?*

If so, please explain.

The questions below referring to language development may include English, or your family's native language if other than English.

If your child has any language difficulty, please explain below. (If not, please enter NA.)*

If yes, when and where was the testing done?

What prompted you to initiate an evaluation?

Please list any services your child has received or is currently receiving outside of school.

If yes, please describe.

What behavior do you correct most often?*

How does your child respond to discipline?*

What are your child's favorite activities?*

Please add anything else you think we should know about your child.

SUBMIT APPLICATION FORM

You have reached the end of the Sibling Preschool Application Form. Please check to ensure that all required entries have been made.

After selecting the "Submit" button below, please scroll down to find your Confirmation message to appear on this page.

NON-DISCRIMINATION STATEMENT: Christian Heritage Academy admits students of any race, color, sex, and national or ethnic origin, to all the rights, privileges, programs, and activities generally accorded or made available to students at the school. It does not discriminate on the basis of race, color, sex, or national or ethnic origin, in administration of its educational policies, admissions policies, scholarship and loan programs, and athletic and other school-administered programs. Christian Heritage Academy does reserve the right to select students on the basis of academic performance, religious commitment, philosophical compatibility, and willingness to cooperate with the Christian Heritage Academy administration and abide by its policies. Excerpted from the Constitution of the Association of Christian Heritage Academy, adopted 1984.

Phone

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