Cornerstone Southern Baptist Church

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 ______

______

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)

______