Train up a child in the way he should go: and when he is old, he will not depart from it. 

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CLICK HERE FOR THE PRINTER FRIENDLY VERSION

 

Received by _________________  Payment Cash/Check#__________                      Transportation   (  ) Parents    (  ) Student Driving    (  ) Other

 Text Box: Glasgow Christian Academy Re-entry Application    

                                                Student Information

 _________________________________________   ________-________-________

 Name                     (Last, First, Middle)                                                                          Social Security Number

 

_____________________________________  _________________, KY _______

Address 1 (Residence)                                                                           City                                                            Zip Code

_____________________________________  _________________, KY ________

Address 2 (Mailing)                                                                              City                                                            Zip Code

 

Home Phone Number__________________________ Student’s Email Address ______________________________

 

Grade___________ Beginning August _________ Date of Birth ________/________/________   Age_____________

                                                                     Year

Applicant’s parents:  (Please circle one)     Married        Single           Separated          Divorced   

List any custodial limitations GCA should know.________________________________________________________

________________________________________________________________________________________________

________________________________________________________________________________________________

                                                           

Student resides with:      Both Parents (   )     Father (   )     Mother (   )      *Guardian/Other (   ) *______________________________________________ ___________________________________________________________

 Name:    First,   Middle,  Last                                                                 Employer                                      Work Phone                                 Cell Number  

Text Box: Father’s Information Name___________________________________ Address_________________________________ ________________________________________ Phone Number____________________________ Cell Number______________________________ Email Address____________________________ Employer________________________________ Job Title_________________________________ Work Phone______________________________ Text Box: Mother’s Information Name___________________________________ Address_________________________________ ________________________________________ Phone Number____________________________ Cell Number______________________________ Email Address____________________________ Employer________________________________ Job Title_________________________________ Work Phone______________________________

  

 

 

 

 

 

 

 

 

 

 

 

 

 

Text Box: Emergency Contact Person:   _______________________________________   ___________________________ Name                                                                                    Relation ____________________________________________________________________ Address                                                 City                             State                             Zip Code   Home #  _____________________ Cell #  _____________________ Work # __________________   An emergency person is required.          

PRIVATE This application should be accompanied by a $75 non-refundable fee, which is used for testing and/or processing.

 

It is understood that the school has the right to accept or reject a student, as it deems advisable.

 

*As parent(s)/guardian(s) of this student, we/I agree to cooperate with enforcement of the rules, regulations and discipline of the Academy, and to meet the terms of the agreement about expenses and business details as outlined by the school.

 

 

*Glasgow Christian Academy’s students are not permitted the use or possession of alcoholic beverages, tobacco, or harmful drugs at any time.

 

*We/I will settle any disputes between home and school and with other individuals in a series of private meetings between the parties as required in Matthew 18.  Any dispute that cannot be resolved between the two persons involved shall be brought to the attention of the administrator for assistance.  All controversy that may come up will be settled by arbitration rather than litigation.

 

*We/I have read the Glasgow Christian Academy Handbook carefully, and understand and agree as a family to support the Statement of Faith and Purpose, philosophies, rules, standards, and goals of Glasgow Christian Academy.

 

 (By signing below you are stating that you are in agreement with all the above.)

 

________________________________  __________      ________________________________ ________

Father                                                                    Date                    Mother                                                             Date

 

_____________________________________________________ _______________________   ________       

Student           (Required sixth through twelfth grades                                    Grade                                        Date     

                                                                                                                

 

NOTICE OF NONDISCRIMINATION POLICY AS TO STUDENTS

Glasgow Christian Academy admits students of any race, color, national and 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, national and ethnic origin in

administration of its educational policies, admissions policies, scholarship and loan programs, and athletic and other school-administered programs.