Test New Student application Form

New Student Application Plus Family and Student Questionnaire
All questions must be answered and printed legibly.


Maximum upload size: 52.43MB
(Without the court order we will allow each parent and/or their emergency designees to pick up the child on any school day.)

Please list all other siblings in the home:

Calvary Road Christian School admits students of any race, color, national or ethnic origin to all 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, national, or ethnic origin in the administration of its education, admissions, scholarships, athletics, or other school administered programs.

I understand the policies of the school administration and I agree to abide by the school rules and regulations. CRCS reserves the right to interview all students and parents before acceptance. I understand all students are admitted on a nine week probationary period. I understand that by omitting any information from the application paperwork or falsifying of documents, I am jeopardizing my child’s acceptance and/or continued enrollment.

I give my permission for Calvary Road Christian School to contact my child’s current and/or former schools to obtain verbal and/or written appraisals of my child’s previous educational and behavioral progress. I understand that this information will be used solely for the purpose of determining my child’s acceptance and/or placement at CRCS.

Calvary Road Christian School agrees to notify you, the parent/guardian, whenever the student becomes ill, and the parent/guardian agrees to pick the student up as soon as possible. I, as the legal parent/guardian authorize CRCS to obtain immediate medical care at my expense if a medical emergency occurs.

I understand that, upon enrollment, a seat is reserved for my child for the entire year and I agree to pay full tuition if my child remains in school for the entire year. I understand that credit will not be given for missed days of school due to student illness or inclement weather (snow days). I understand that if I temporarily take my child out of school for purposes of vacation or other reasons during the school year that tuition is still due and payable during the time my child is out. If my child is out for an extended period of time (over three days) I agree to notify the school. I understand that if I take my child out temporarily and do not notify the school and the school cannot get in contact with me or my bill is no longer current (whichever occurs first), the school reserves the right to withdraw my child after he/she has been absent for one (1) week and register another child in his/her place.

I agree to have my child’s tuition, extended care, and other school fees direct-debited from a designated bank account per school policy or I will pay the annual tuition, extended care, and other school fees in advance in full.

I understand that if my first tuition payment is not received by August 5, the school reserves the right to cancel my child’s enrollment and enroll another child in his/her place. The first tuition payment is non-refundable if I withdraw my child after August 1.

I understand that if my child is in extended care, the hours are from 6:45 a.m. to 8:00 a.m. and from 3:15 p.m. to 6:00 p.m. If I should arrive late in picking up my child, I agree to pay a late fee as outlined below. I understand that I will be required to discontinue extended care service and agree to pick up my child at 3:15 each day after I have been late five (5) times.

The following late policy is in effect for children picked up after 6:00 p.m.

  • The first three late occurrences during the school year will result in a fee of $.75 per minute.
  • The fourth through fifth late occurrences during the school year will result in a fee of $1.50 per minute.
  • The sixth occurrence will result in a fee of $1.50 per minute plus dismissal from the extended care program.

Parental Statement of Cooperation

I accept the challenge to “train up a child in the way he should go” in my home. In so doing I also recognize Calvary Road Christian School (CRCS) to be an extension of the home for purposes of instruction, discipline, and character building.

I do hereby state that having made a thorough investigation of the philosophy, curriculum, statement of faith, equipment, methods, discipline, and policies of the school, I pledge to make enrollment at CRCS my purposeful choice for the coming year. I understand that my child will be taught according to the “Statement of Faith of Calvary Road Christian School” as provided via this application.

I sincerely pledge my loyal support to the school through praying for the faculty, administration, and programs; giving as I am able; and consistently supporting school activities and events, as I am able. Following the Biblical principle for Matthew 18, I agree to share complaints, questions, and criticisms with only the teacher, administration, or person involved and not with my child or other people.

I understand that if at any time the school determines, in its sole discretion, that my actions do not support the ministry, or reflect a lack of cooperation and commitment to the home and school working together, the school has the right to request the withdrawal of my child(ren).

I hereby invest authority in the school to discipline my child as necessary in accordance with the CRCS discipline policy as stated in the Parent-Student Handbook. CRCS reserves the right to temporarily or permanently dismiss any student who does not cooperate with the educational process and policies of the school. If a student is dismissed for any reason, the tuition is still due up to the date of dismissal.

I give permission for my son/daughter to take part in all school activities including sports and school sponsored trips away from the school’s premises (including transportation whether by auto, bus, or public transit). I absolve the school from liability for my child because of any injury at school or during any school activity not due to negligence. In case of accident or serious illness, I request the school to contact me. If immediate medical care is needed or the school is unable to reach a parent or guardian, I authorize the school to obtain immediate medical care for my child.

I grant permission for CRCS staff and designated contractors or volunteers to photograph/video my son/daughter for possible use in school projects and promotional materials. In addition, I grant CRCS, its employees, agents, successors, licensees, and assigns the irrevocable right and license to use the likeness of my son or daughter on photographs; to crop such photographs at their discretion; to incorporate such photographs into designated school projects and promotional materials at their discretion; and to use such photographs or any portion thereof in any manner connected with the above items. I understand that my child’s name will not appear in connection with any and all photographs or videos containing his/her likeness that may be used in the above project.

I have read and understand the “Financial Policies and Fees”. I agree to pay my child’s tuition according to the schedule of payments. I understand that CRCS reserves the right to temporarily suspend students whose accounts are over thirty (30) days delinquent. If our account becomes delinquent more than once in a school year, I understand the account will have to be paid in full for the remainder of the school year. If I need to withdraw my child prior to the end of the school year, I must submit written notice of the withdrawal using the withdrawal form available through the school office. Once the withdrawal form is submitted, the business office will calculate any remaining payments based on the withdrawal date. I understand that failure to provide written notice of withdrawal will result in additional tuition costs as discussed in the “Financial Policies and Fees”.


Student Insurance Information

Medical Information(Check all that are applicable)

Any prescription or non-prescription medications will only be distributed to students if an approved consent form is filled out in advance. Please see the office for more details.

Emergency Contact/Authorized Pickup Persons

List up to 10 persons that are authorized to remove your child from school or be called in case of an emergency if parents cannot be reached. These person also have permission to sign your child out of school at any time.

Family and Student Questionnaire

2. Are both parents in agreement on enrollment?
3. Are you a member of any church?
6. Will your child have any difficulty communicating in English?
7. Has your child ever been referred for a developmental or academic evaluation?
8. Has your child been sent to a principal, director, or guidance counselor for previous disciplinary problems?

Please fill out the “Permission to Release Information” form in the Registration Packet.

10. Has your child ever been suspended, dismissed, or denied reenrollment from an educational or extended care program for academic, disciplinary, or other reasons?
11. Has your child experienced any of the following academic accommodations?
Modification of grading scale
Special classroom accommodations (oral testing, extended time 1:1 care)
12. Does your child have a history of:
ADD, ADHD (copy of diagnosis by a licensed psychologist or physician must accompany application)
Learning Disability (If yes, supporting document must be provided before the application can go forward)
Maximum upload size: 52.43MB
Physical Disability (If yes, supporting document must be provided before the application can go forward)
Maximum upload size: 52.43MB
13. Has your child ever repeated a grade level?
14. Has your child received a physical, visual, and hearing examination in the last year?
Students with academic difficulties applying for admission to Calvary Road Christian School must supply all confidential records, present school records, and any educational evaluations before the admissions process can proceed.

I acknowledge that I have accurately completed the Family and Student Questionnaire and have supplied all records, evaluations, IEP’s and other information if applicable. I understand that by omitting any information, or falsifying of documents, I am jeopardizing my child’s acceptance or continued enrollment.