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Preschool_Application

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Preschool_Application Powered By Docstoc
					Applicant’s Name___________________________
     Anchored Christian Preschool Application
       A place to grow and a place to belong: A ministry of the Glendale Baptist Church
1807 Cave Mill Road – Bowling Green, KY – (270) 781- 9077                                      www.AnchoredChristian.com


                             Open Daily (M-F) 6:30- 5:30 p.m.
                                 Exceptions: School Holidays as listed on school calendar

                        Morning Preschool Session: 8:00-12:00
                       Full Day: Any Student staying beyond 12:00

Instructions: Please complete all sections. Indicate “NA” if something does not apply. Please fill out one
application per child. Each application must be accompanied by a $100 non-refundable fee. (Not to exceed $200
per family) Make checks payable to “Anchored Christian School.”
_____________________________________________________________________________________________
Session Preference: (Choose one)
       AM Session Only               AM Session + Enrichment Activities               AM Session + Enrichment Activities + Extended Care
       7:30 am -12:00 pm             7:30 am -3:00 pm                                 6:30 am-5:30 pm

                                            STUDENT INFORMATION
Child’s Name: __________________________________________                                                      Male             Female
                      Last                      First                   Middle
Home Address: ___________________________________________________________
                              Number and Street                          City                         State                 Zip Code

Home Phone: ____________________Birth Date___________________SS#________________

Primary Language Spoken at Home ________________________________________________

Is this child potty-trained?                       Yes           No At what age was training completed? ________

Does this child have any special medical needs ot take daily medication? ____yes _____no
If yes, please describe. _________________________________________________________

Child lives with                Both parents                 Mother                Father               Other _________________
                                                                                                                Relationship


Anchored Christian School does not unlawfully discriminate on the basis of race, clolor, national or ethnic origin, age, sex, or disability in the
admission of the students, the administration of educational policies, scholarship, and athletic and other school-administered programs.
                               FAMILY INFORMATION
Father’s Name ____________________________________________________________
Home Address if different than that of child. ___________________________________
_________________________________________________________________________
Cell Phone ________________________Email____________________________________
Occupation ________________________________________________________________
Employer’s Address” _________________________________________________________
Business Phone ______________________________Church Affiliation _________________
ACS Graduate _____yes _______no

Mother’s Name ____________________________________________________________
Home Address if different than that of child. ___________________________________
_________________________________________________________________________
Cell Phone ________________________Email____________________________________
Occupation ________________________________________________________________
Employer’s Address” _________________________________________________________
Business Phone ______________________________Church Affiliation _________________
ACS Graduate _____yes _______no

SIBLING INFORMATION: (Please list all other children in the family)

 Name                    Age                    Grade                  Present School




Do you have any outstanding tuition balances at any other school your child has attended?

________yes       ___________no

                                STATEMENT OF INTENT
Please indicate why you wish to enroll your child at Anchored Christian School. Application
will not be processed without this statement.




______________________________________________________________________________
Signature                                                  Date
     Anchored Christian Preschool
      A place to grow and a place to belong: A ministry of the Glendale Baptist Church
1807 Cave Mill Road – Bowling Green, KY – (270) 781- 9077                           www.AnchoredChristian.com


                       Open Daily (M-F) 6:30- 5:30 p.m.
                             Exceptions: School Holidays as listed on school calendar

                        Morning Preschool Session: 8:00-12:00
                    Full Day: Any Student staying beyond 12:00
                                            2011 Monthly Rates
Full Day (2 snacks)                                                                1/2 Day Fees (1 snack)


Days per week              Monthly Rate                                         Days per week              Monthly Rate

          2                    $240/mo                                                    2                    $144/mo
                                ($60/wk)                                                                        ($36/wk)
          3                    $324/mo                                                    3                    $204/mo
                                ($81/wk)                                                                        ($51/wk)
          4                    $400/mo                                                    4                    $240/mo
                               ($100/wk)                                                                        ($60/wk)
          5                    $500/mo                                                    5                    $300/mo
                               ($125/wk)                                                                        ($75/wk)


                           Anchored Christian Preschool Philosophy
Our Philosophy: A good beginning helps children develop a sense of responsibility, creativeness, spontaneity, happiness,
and caring attitude. Children also grow through self-expression along with self-discipline. At Anchored Christian Preschool our
goal is to assist each child in this development providing a Christ-centered preschool experience. At Anchored Christian
Preschool we provide a program that aids children in developing self help skills, social skills, eye-hand coordination, and small
and gross motor skills. Our program includes music and movement activities and language development exercises. Our
preschool cognitive skills’ activities include learning to recognize colors, letters, numbers, and shapes in addition to an
introduction to phonics. Anchored Christian Preschool will be a daily learning experience, involving prayer before snacks and
meals, Bible stories taught through books, role-play, and hands-on activities. For more information call us at (270) 781-9077

				
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