SCHOOL USE ONLY: Date of Enrollment ______Check # ______
Check Amount Registration Tuition ______Supply Fees ______
Class Placement ______Days of Attendance ______
CORNERSTONE SOUTHERN BAPTIST CHURCH WEE SCHOOL
STUDENT APPLICATION/ENROLLMENT FORM
Child’s full name ______Name called by _________
Date of Birth ______Sex ___ Age ______on Aug. 31, 2015
Class Requested ______Days of Attendance:______
If a new student, note any previous school attendance ______
Home Address ______
City ______Zip ______Home Phone ______
Family E-mail Address ______
NOTE: WEE School updates may send using e-mail.
Father’s Name _____ Cell phone #______
Father’s Business name, address & Phone ______
______
Mother’s Name ______Cell phone # ______Mother’s Business name, address & Phone ______
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Does this child live with both parents? If not, please note custodial agreements on a separate paper and note any special instructions for the WEE School staff.
WEE School welcomes students from all religious backgrounds. We ask the following ONLY for student records. Religious Affiliation ______
Church Membership ______
One Emergency Contact who is allowed to pick up your child(Please write name, relationship, home phone, work and cell phone)
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