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Menu
About GFA
Home
The GFA Difference
Friends History
Mission, Faith and Core Values
Faculty and Staff
Academics
Classical Christian Education
Education as Formation
The Trivium
Habit Formation
The Classical Curriculum
Admissions
Enrollment
Enrollment Procedures
GFA Shadow Day
Tuition Schedule
Pay My Tuition
Grades and Programs
Upper School 7th-12th
Grammar School 1st-6th
Pre-K and Junior Kindergarten
Daycare
Additional Programs
Forms & Docs
Athletics
Student Life
Parent/Student Portal
Honor Roll
The House Program
School Uniforms
School Calendar
Lunch Menu
General Info
Contact & Location
Give
Fundraisers
Employment
Sitemap
Facebook
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Newsletters
Application for Admission Daycare
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*
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1
of
5
20%
Child's Information
Child's Full Name
*
First
Middle
Last
Birthdate
MM slash DD slash YYYY
Age
Male or Female
Male
Female
Parent Information
Parent's Address
*
Street Address
City
State
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
ZIP Code
Additional Address
Street Address
City
State
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
ZIP Code
Parent Contact
Primary Email
*
Mother's Phone
*
Father's Phone
*
Daycare Requested
Daycare
*
Daycare Requested
Toddler: 2's
Nursery
Full Days
Half Days
Days Needed
*
Monday
Tuesday
Wednesday
Thursday
Firday
Select All
Additional Info:
Parent Work Information
Mother's Full Name
*
Mother's Employer
Mother's Work Phone
Mother's Email (mother and father's email cannot be the same)
*
Father's Full Name
*
Father's Employer
Father's Work Phone
Father's Email (mother and father's email cannot be the same)
*
Parental Status
Marital Status
*
Married
Single
Divorced
Other
Limitations
*
Are there any legal limitations regarding custody or visitation with anyone in this child’s life?
Yes
No
If there are limitations please explain:
CHRISTIAN COMMITMENT
(To be filled out by parent or guardian)
Are either you or your spouse a Christian?
*
Yes
No
Unsure
If so, what is your relationship to Jesus Christ?
Do you take your child(ren) to weekly meeting/worship services?
*
Yes
No
Sometimes
If no, please explain
Name of meeting (church) you attend?
Pastor’s Name:
Phone
Address
Additional Information
Is your child potty trained?
*
Yes
No
Preschool or Daycare previously attended:
How often attended:
What are some of child’s favorite activities?
Typical behavior when angry or frustrated:
Primary form of correction at home:
Has child had behavior problems at previous school or in other social environments? If yes, please explain.
Medical
Allergies:
*
Medical Issues:
*
Current Medications:
*
Emergency Contacts and Release Authorization
I give permission for my child to be released to the following individuals
:
Full Name
Relation to Child
Phone
Full Name
Relation to Child
Phone
Agreement
Any individual picking up a child must show picture identification.
Agreements and Authorizations
1) I have received a Greenleaf Friends Academy Preschool and Daycare Parent Handbook and understand and agree to the policies and procedures contained therein.
2) I understand the tuition policies and take responsibility for tuition charges.
3) I authorize Greenleaf Friends Academy Preschool and Daycare to administer any needed first aid to my child.
4) We agree that if our child should become involved in any trouble with other children in the school we will refrain from complaining to other parents, but in the love of Christ and with prayer, we will register only the necessary complaints with the school
5) I acknowledge that Greenleaf Friends Academy Preschool and Daycare is a ministry of Greenleaf Friends Church and they will be part of the decisions and be involved in any disputes that may arise in the course of the preschool and its activities. If we have a concern about a situation at Greenleaf Friends Academy, we agree to follow the biblical model in Matthew 18, by first discussing the issue with the person directly involved. If the matter is not successfully resolved, we agree to follow the administrative chain of command, and finally the school board. We understand that this principle requires us to act with love and respect for the good of the school at all times and deters us from discussing the matter with anyone who is not part of either the problem or the solution.
6) I expressly waive, release and hold harmless, Greenleaf Friends Academy Preschool and Daycare and Greenleaf Friends Church, and each of its staff members or agents thereof, from any and all claims made by me or by my child concerning any and all liability, injury, loss or damages which may be suffered in any way connected to my child’s participation in Greenleaf Friends Academy Preschool and Daycare, save and except where such damages were caused by the gross negligence or willful or wanton misconduct of any staff member of Greenleaf Friends Academy Preschool and Daycare.
Consent
I agree
*
By signing this enrollment form, I accept the agreements in and give authorization for the above listed material. I have also provided all information truthfully and completely.
Parent's Signature
*
Printed Name
*
Date
*
MM slash DD slash YYYY
For Office Use Only:
Received By:
Date Received:
Registration Fee Paid:
Amount and Method:
Price Quoted:
Referred By:
Comments
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