Westgate Christian School

Goes By

Social Security

Date of Birth

Age

Student's Cell Phone
Sex Male Female
Race

Present Grade Level

Student Email Address *

School District Student Resides in (Spartanburg County) Other

Name of Church

Church Address

Church Member
Yes No

Church Pastor

Church Phone

Family / Legal Guardian Information

Father's Last Name

Title

First Name

Street Address Home Phone
City State Zip Code Place of Employment

Mother's Last Name

Title

First Name

Street Address Home Phone City State Zip Code Place of Employment

Grandparent's Last Name

Title

First Name

Street Address Home Phone City State Zip Code Place of Employment

Financial Responsibility other than parent

Last Name

Title

First Name

Street Address Home Phone City State Zip Code Place of Employment

Admission Information

To what grade are you applying to attend? Address of school: Has any grade been repeated? Yes No

If yes, which one:
Reason

School attended last year: Phone: Have all financial obligations been fulfilled at the school listed above?
Yes No
Does the applicant exhibit any kind of rebellious attitudes toward parents or others in authority? Yes No

Applicant

New Students (7th - 12th) Please submit a NEW STUDENT PERSONAL STATEMENT (testimony) and attach to this application.

Are you willing to commit to working diligently in our academic program? Yes No
Please give the specific name of the church where you and your child attend or are members:

Address: City: State Zip Code:

Phone: Pastor: Do you attend regularly? Yes No
Does your family attend regularly? Yes No

Please list two people we can call for a recommendation (ex Pastor, Youth Pastor, teacher, neighbor)

Name : Phone : Relationship :

Confidential

Does the applicant have any significant physical impairment? Yes No If so, what?
Has the applicant been previously hospitalized? Yes No If so, for what?
Is the applicant allergic to anything? Yes No If so, what?
Has the applicant had or does the applicant have any major diseases or illness: Yes No If so what?

Is the applicant under the care of a doctor? Yes No If so, why?
Has the applicant ever been treated for any nervous, mental, or emotional disorder, or seen a psychologist? Yes No If so, explain:
Has the applicant ever used illegal or dangerous drugs? Yes No
Has the applicant ever used alcoholic beverages or tobacco? Yes No
Has the applicant ever been expelled, dropped, or suspended by any school? Yes No
Does the applicant have any physical, emotional, or mental handicaps which may affect activities or progress? Yes No If so, explain:
Has the applicant received any type of tutoring or therapy? Yes No If so, explain:
Does the applicant desire to attend Westgate Christian School? Yes No
Reason for leaving current school:

An explanation may also be required from the doctor, principal, or court if applicable.

In Case of Emergency

Name

Relationship

Phone

Physician/Pediatrician

Name

Phone

Dentist

Name

Phone

Medical Ins.

Name of Insured

Policy Number

It is my intention to have my child complete the school year at Westgate Christian School unless otherwise indicated.

It is my intention to pay fees when due and to pay tuition on or before due date. Report cards and transcripts are not released if the account is past due. I understand that if my account becomes 30 days past due, my child or children may have to be suspended until the account is brought current.

I give Westgate Christian School permission for my child to take part in all school activities, including bus trips, sport's activities, and school sponsored trips away from school premises.

I believe that discipline is necessary for the welfare of each student as well as for the entire school. I give my permission for my child's teacher and/or other agent of the school to make and enforce classroom regulations in a manner consistent with Christian principles and discipline as set forth in the Scriptures. The school has permission to administer appropriate discipline (including tallies, citations, demerits, detentions, etc. ...) in order to maintain an orderly atmosphere conducive to learning. I agree to report to any mandatory parent conferences to discuss behavioral or other problems relating to my child when required to do so by the administration.

I pledge to encourage my child in his homework and other special projects, as well as in the application of Biblical principles to his life and learning.

If I am disturbed with some policy or practice of the school, I will speak first to the teacher, and finally to the administrator, rather than to other parents.

If I cannot continue to support Westgate, I will withdraw my child without seeking to undermine or discredit the ministry or its personnel.

I will inform the office of any changes in the following: address, personal phone numbers (home, cell phone, beeper, or employer), persons (with phone numbers) authorized to pick up my children, other emergency numbers, medical information, and the custodial status of my children.

In case of accident or illness, I request the school to contact me. If the school is unable to reach me, I hereby authorize the school to call my physician and to follow his instructions. If it is impossible for the school to call my physician, the school may make whatever arrangements seem necessary.

Should legal action for any reason be taken against Westgate Christian School or any employee or agent thereof on my child's behalf, and if the school or its agent not be found at fault, I agree to pay any attorney fees, court costs, damages, or other costs that Westgate Christian School or its agent should incur to defend itself against such actions.

Enroll Online

Application must be submitted with Registration

Family / Legal Guardian Information

Financial Responsibility other than parent

Admission Information

Applicant

Confidential

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