1. education
2. school

Print Form
Email Form
FAMILY INFORMATION
Father’s Name: _________________________
Marital Status:
Married
Separated
Mother’s Name: _________________________
Divorced
Home Address: __________________________________________________________________
Second Address (if applicable): _____________________________________________________
Home Phone: _________________
Father’s Cell Phone: _________________
Mother’s Cell Phone: _________________
Father’s E-mail: _________________________
Mother’s E-mail: ________________________
Father’s Employer: ______________________________________
Phone: ________________
Mother’s Employer: ______________________________________
Phone: ________________
STUDENT INFORMATION
1| Student Name: ________________________________
(First, Middle, Last)
Date of Birth: _________________
(Month, Day, Year)
Gender:
Male
Female
Grade Entering: ________
School Last Attended: __________________________________
Phone: ________________
Main Teacher: _________________________
Other Teacher: _________________________
2| Student Name: _________________________________
(First, Middle, Last)
Date of Birth: _________________
(Month, Day, Year)
Gender:
Male
Female
Grade Entering: ________
School Last Attended: __________________________________
Phone: ________________
Main Teacher: _________________________
Other Teacher: _________________________
3| Student Name: _________________________________
(First, Middle, Last)
Date of Birth: _________________
(Month, Day, Year)
Gender:
Male
Female
Grade Entering: ________
School Last Attended: __________________________________
Phone: ________________
Main Teacher: _________________________
Other Teacher: _________________________
4| Student Name: _________________________________
(First, Middle, Last)
Date of Birth: _________________
(Month, Day, Year)
Gender:
Male
Female
Grade Entering: ________
School Last Attended: __________________________________
Phone: ________________
Main Teacher: _________________________
Other Teacher: _________________________
New Student Registration
Page 1 of 5
OTHER CONTACT INFORMATION
Best way to contact the parent during the day:
E-mail: _________________________
Cell Phone- Text: _________________
Phone- Call: _____________________
EMERGENCY CONTACTS
Name: _________________________
Phone: ________________
Relationship: _________________________
Cell Phone: ________________
Address: _________________________________________________________________________
Name: _________________________
Phone: ________________
Relationship: _________________________
Cell Phone: ________________
Address: _________________________________________________________________________
OTHER INFORMATION
Church Currently Attending: _____________________________
Phone: ________________
Reason for Wanting to Enroll at Liberty:
Who/What Called Your Attention to Liberty: _____________________________________________
SCHOLASTIC INFORMATION
1| Have any of your children had any disciplinary difficulty in school?
2| Have any of your children had any scholastic difficulty in school?
No
Yes
No
Yes
3| Have your children ever been suspended, dismissed, or refused admission to another school?
No
Yes
4| Have any of your children ever had any difficulty with civil authorities?
New Student Registration
No
Yes
Page 2 of 5
5| If you answered ‘Yes’ to any questions 1 through 4, please explain below:
6| What is the role of the parent in the child’s education?
PARENT ACKNOWLEDGEMENT
I _________________________ and _________________________ have read the policies and
guidelines, including the financial policy and dress code, and I agree to support them fully. I also
give my permission for my child to take part in all school activities, including sports and school
sponsored trips away from the school premises. It is required that both parents read the policies and
guidelines and sign below.
Father’s Signature: _______________________________________
Date: ________________
Mother’s Signature: _______________________________________
Date: ________________
New Student Registration
Page 3 of 5
ADMISSION PROCEDURES
Students seeking admission are evaluated in the following areas: on the basis of their transcripts,
behavior at previous schools, our application, and an entrance test, which will be set up by the office.
Families will be notified regarding status of the application.
Marginal students or students with less than a "C" average in their core academic subjects may have
difficulty in attaining a satisfactory level of academic achievement. Liberty Christian School is not
equipped with the resources required to serve children who are seeking to be admitted into special
education programs. Students who seek admission directly following suspension, expulsion or behavior
problems from another school will not be admitted until they prove themselves in another school.
Liberty Christian School is committed to providing a Biblical philosophy of education, which integrates
Christian principles and Scriptural truths in the academic and social experiences of every student.
FINANCIAL POLICY
All accounts are to be paid by the 15th of each month. A $20.00 late charge will be added to any account
that is not up-to-date. If there is a problem in keeping an account current, parents should seek
assistance with the principal. Every reasonable attempt will be made to work with families having
difficulty.
NON-DISCRIMINATORY STATEMENT
Liberty Christian School 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 programs, and athletic or other school administered
programs. Liberty Christian School does reserve the right to select students on the basis of academic
performance and personal qualifications including a willingness to cooperate with the Liberty Christian
School's administration and abide by its policies.
SCHOOL STANDARDS
Students are expected to:
1| Behave and work responsibly in the classroom and on the school campus, abiding by the
standards set by the school.
New Student Registration
Page 4 of 5
2| Have a courteous, respectful, and a cooperative attitude towards administration, teachers, and all
students in the school.
3| Adhere strictly to the no weapons policy. This states that any knife, gun, or other implement
which is designed to be a weapon is strictly prohibited.
4| Adhere to the dress code which is further explained in the following:
5| Do their best and perform at a satisfactory level. Students who consistently perform at a below
average level will be placed on academic probation. Students, who fail a class at the semester,
may be subject to dismissal.
6| Bible is a required class while in attendance at Liberty Christian School. Students will be involved
in the study of God's Word which is vital to the Christian life.
Parents are expected to:
1| Encourage a courteous, grateful, respectful, cooperative and forgiving attitude, along with proper
restraint (self-control) in thoughts, words, actions, and attitude.
2| Encourage habits of punctuality, thoroughness, neatness, honesty, resourcefulness, independent
reading and study.
3| Encourage participation in school projects, programs, parties, sports, and physical education
classes.
4| Encourage completion of all homework and assignments, and help the student develop effective
study habits.
5| Encourage school personnel by your cooperation, prayer support, participation in school activities,
and by communication (in writing when possible).
6| We understand that parents and children may not always agree with some areas regarding our
standards. We do expect that parents will nevertheless train their children to abide by the rule
and the spirit of the rule.
You may expect your school to:
1| Clarify to students our expectations, and to commend, counsel or correct as occasion demands.
2| Cooperate with you in every way possible to encourage your child in the development of the
above attitudes, habits and skills.
3| Communicate with you regularly concerning the growth, needs and accomplishments of your
child.
4| Provide a Christian environment in which to learn about and deal with the non-Christian world in
which we live.
New Student Registration
Page 5 of 5