FOR NEW STUDENTS ONLY                                                                                    DATE:_____________

FAIRWINDS CHRISTIAN SCHOOL

801 SEYMOUR ROAD

BEAR, DE  19701

TELEPHONE:  302-328-7404

www.fairwindsbaptist.com

Student Name________________________________________________________Date of Birth___________________________

Mailing Address___________________________________________________________________________Age______________

                                Street                                                         Development                           

________________________________________________________________________Home Phone________________________

City                                                                        State                               Zip Code

Father_________________________________ Employer________________________________ Phone #____________________

Mother________________________________ Employer_________________________________Phone #____________________

Social Security Number of Student  ___ ___ ___ - ___ ___ - ___ ___ ___ ___

Does student live with both parents ___________   If ‘no’, who should receive school correspondence:

                _____________________________________________________________________________

                Name                                                                                     Address

Church Membership____________________________________________________  Pastor______________________________

Have you had a child enrolled at Fairwinds previously?  No____  Yes____  If yes,  indicate child’s name___________________

Last School Attended ____________________________________________________ Principal____________________________

Last School Address____________________________________________________ Last Grade Completed__________________

                                        Street

______________________________________________________________________ Grade Entering ___________

  City                                                State                                          Zip Code

The following information must be given before any student will be accepted. 

Has student repeated any grades?     Yes _________     No _________  If ‘yes’, which grade(s) ______________

Has student ever been dismissed, suspended or disciplined at any school?    Yes _____________    No_________

Any physical, emotional, or mental disability or limitations?      Yes ___________     No ____________

If ‘yes’, please describe ______________________________________________________________________________________

__________________________________________________________________________________________________________

Nature:___________________________________________________________________________________________________

In making this application, I understand that:

1.  The student must abide by all the rules of the school in both action and attitude.

2.  The teacher has full discretion in the classroom to the discipline of my child.

3.  My cooperation is expected in regular tuition payments.

4.  The school reserves the right to dismiss any student who does not respect its spiritual standards or cooperate in the        

                     educational progress.

SIGNATURE OF BOTH PARENTS PREFERRED, ONE WILL BE ACCEPTED:

______________________­­__________________________                   ____________________________________________           

FATHER                                                                              DATE                    MOTHER                                                              DATE

‘OVER’

                We, as parents who are accepting the challenge to “train up a child in the way he should go,” do state that this training will be carried on in the home.  We shall place our trust in the Christian school to extend that training more completely.

                We pledge that our child will bring to the school a heritage of CHRISTIAN CULTURE.  We promise that the home will provide a secure haven of safety -- free from the influences that we recognize as harmful.

                We do hereby state that we have made a thorough investigation of curriculum, statement of faith, texts, equipment, methods, testing, counseling, discipline and motives of the school and do pledge to make them our glad-hearted choice for the coming school year.

                We pledge that, if, for any reason, our child does not respond favorable to the school, we will not try to change the school to fit his needs, but will withdraw quietly and without delay.  (Six weeks is adequate for most students.  The one who has not adjusted by the end of twelve weeks should be withdrawn.)

                We pledge our loyal support to the school through praying for its program, giving to its school extension fund as we are able, and by paying the tuition payments regularly and on time.

                We hereby invest authority in the school to discipline our child as necessary.  We further agree that we will cooperate and discipline our child in the home as needed (Proverbs 13:24; 19:18; 22:6; 23:13; 14; 29:15; 17; Colossians 3:20; Hebrews 12:6).

                We understand that assessments will be made to cover damage to school property (including breakage of window, abuse of books, etc.).

                We agree to pay the tuition according to arrangements that shall be made and to conclude all required payments on or before the last day of school.  Report cards will be withheld at the end of the school year if required payments are not made in full (records will not be forwarded if a balance is due).

                We, as parents/guardian of the student applicant, do sincerely give our pledge to all items as stated above.

                                                                                                                PARENTS/GUARDIANS:

                                                                                Signed:______________________________________Date:____________________

                                                                                Signed:______________________________________