Khalsa School Surrey

Welcome to Khalsa School !

Waheguru Ji Ka Khalsa, Waheguru Ji Ki Fateh!

Khalsa School is a unique Sikh Private Educational Institution with a closed campus policy. We have a drug,

alcohol and smoke free environment. Khalsa School is a place where students’ lives are enlightened

with the highest moral and spiritual values. Khalsa School has established very high standards for our

academic and religious education programs. Students take part in a variety of sports

tournaments, academically and religiously oriented competitions and scores of

other extra-curricular activities. Children also learn the Sikh Way of Life.

We are delighted to educate your child.

Visit our website for more information or contact us.

Thank you!

Jasbir Singh Bhatia

Principal

Phone no. 604-591-2248

E-mail:

Website:

IMPORTANT NOTES

Please provide the following documents along with this application for admission to Khalsa School:

Admission will not be granted if all the required documentation is not available at the time of admission.

BIRTH CERTIFICATE OF THE STUDENT.

MEDICAL CARE CARD (PHN #) OF THE STUDENT.

CITIZEN/PERMANENT RESIDENT CARD OF MOTHER/FATHER ORTHE CHILD.

B.C. HYDRO BILL/TELEPHONE BILL OR BC DRIVER’S LICENSESHOWING YOUR

RESIDENTIAL ADDRESS.

Immunization Record required for K.G. students only

FEES REQUIRED UPON ADMISSION

Please pay the following fees upon registration to Khalsa School:

Registration fee of $100.00 (Non Refundable)
Donation $500.00 (Non Refundable)
Monthly school fees (please pay monthly school fees in the full amount or if you are not paying full school fees then provide post dated cheques for the whole year or you can pay by pre-authorized Visa/Mastercard for the whole year. For pre-authorized Visa/Mastercard you will have to fill out an additional form.
Agenda fee $10.00 (Non Refundable)
Year Book $10.00 (Non Refundable)
Text book borrowing fee $30.00 (for Gr.1 to Gr. 10 only – Non Refundable)
Applied Science $25.00(for Grades 8 to 10 only – Non Refundable)

Full Payment Discount

There will be a 5% discount if you pay the full year school fees by cash or

cheque before June 30, 2009. There will be 2% discount if you pay the

full school fees by Visa/Mastercard/Debit before June 30, 2009

YEAR 2009-2010 STUDENT FEES

ANNUAL CHARGES

Agenda: $10.00 (K-10)

Year Book: $10.00 (K-10)

Text Book Borrowing: $30.00 (1-10)

Applied Sciences: $25.00 (8–10)

Registration Fee: $100 per child $500 Donation per child (for new admissions only)

Tuition Fee: GRADE 1 TO 10

$115.00 Per month 1st child 10 months Sept/08 to June/09 $1150.00 after discount $1092.50(cash & cheque only)

$115.00 Per month 1st child 10 months Sept/08 to June/09 $1150.00 after discount $1127.50(visa & mc only)

$95.00 Per month 2nd child* 10 months Sept/08 to June/09 $950.00 after discount $902.50(cash & cheque only)

$95.00 Per month 2nd child* 10 months Sept/08 to June/09 $950.00 after discount $931.00(visa & mc only)

$80.00 Per month 3rd child* 10 months Sept/08 to June/09 $800.00 after discount $760.00(cash & cheque only)

$80.00 Per month 3rd child* 10 months Sept/08 to June/09 $800.00 after discount $784.00(visa & mc only)

*Students must be siblings – proof may be requested

KINDERGARTEN FEES

Tuition Fees:

85.00per month 1st child 11 months Aug/08 – June/09 - $935.00 after discount $888.25(cash & cheque only)

85.00per month 1st child 11 months Aug/08 – June/09 - $935.00 after discount $916.30(visa & mc only)

If 2nd child is in KG $80.00 11 months Aug/08 – June/09- $880.00 after discount $836.00(cash & cheque only)

If 2nd child is in KG $80.00 11 months Aug/08 – June/09- $880.00 after discount $862.40 (visa & mc only)

If 3rd child is in KG $75.00 11 months Aug/08 – June/09 - $825.00 after discount $783.75(cash & cheque only)

If 3rd child is in KG $75.00 11 months Aug/08 – June/09 - $825.00 after discount $808.50(visa & mc only)

Bus Fee:Please call the office for bus fee information at 604-591-2248.

NOTE: 1. You must pay the full fee for the next session 2009/2010.

2. Discounts only available if you pay for the full year 2009/2010 by June 30, 2009.

Note: Registration Fees, Donation & Annual charges are non refundable.

KHALSA SCHOOL UNIFORM

This is a list of uniform items. All items, except socks and shoes, can be purchased from the school. Parents must make sure that the student has enough uniform sets to be in school uniform whenever he/she is attending this school.

KINDERGARTEN TO GRADE 6

REGULAR UNIFORM: BOYS

White kurta with white pajama. OR
White dress shirt, button down in front, long sleeves or short sleeves to the elbow and grey dress pants. The shirts must be tucked in.
Dark blue long sleeve sweater (no logos, no hoods)
Dark blue head covering – turban or rumal only
White socks and black comfortable dress shoes or white runners without black soles

REGULAR UNIFORM: GIRLS

White kameez with white salwar or white pajama. OR
White dress shirt, button down in front, long sleeves or short sleeves to the elbow and grey dress pants. The shirts must be tucked in.
Dark blue long sleeve sweater (no logos, no hoods)
Dark blue head covering – turban, rumal or chunni only
White socks and black comfortable dress shoes (no high heels) or runners without black soles

PHYSICAL EDUCATION (PE) UNIFORM KG TO GRADE 6

BOYS AND GIRLS

Dark blue jogging suit including dark blue T-shirt with Khalsa School logo
Dark blue head covering (rumal or turban )
White socks and runners without black soles

GRADE 7 TO 10

REGULAR UNIFORMS: BOYS

1. White Kurta with white pajama. OR

2 White dress shirt, button down in front, long sleeves or short sleeves to the elbow and black dress pants. The Shirts must be

Tucked in underline.

Dark black long sleeve sweater (no logos, no hoods)
Dark black turban only. Turban is compulsory for all boys.
White socks and black comfortable dress shoes or black runners without black soles

REGULAR UNIFORM: GIRLS

White kameez with white salwar or white pajama. OR
White dress shirt, button down in front, long sleeves or short sleeves to the elbow. Black dress pants. Shirts must be tucked in.
Dark black long sleeve sweater (no logos, no hoods)
Dark black head covering – turban, rumal or chunni only
White socks and black comfortable dress shoes or runners without black soles that do not leave marks on the floors.
No fitted shirts permitted for any student.

PHYSICAL EDUCATION (PE) UNIFORM

BOYS AND GIRLS GRADE 7 TO 10

1.Dark black jogging suit including dark black T-shirt with Khalsa School logo.

2.Dark black head covering rumal or turban for boys.

3.Runners without black soles & white socks only.

NOTE:

Not allowed:-- Tearaways, shorts, jeans, flairs, vests, earrings, rings, necklaces, nail polish, make up, baseball caps etc.

PE strips are for PE classes and lunch time only. However, Grade KG to 3 students are allowed to wear PE strips for full day if they have PE classes on that day. All students are allowed to wear their PE strips for field trips if they wish to.

Students are reminded that dress shirts must be neatly and completely tucked in their waist band. No jackets are to be worn in class or in the Gurdwara. Students without proper school uniform will be asked to go home or have their uniform delivered to the school. If a student continually forgets their uniform then disciplinary action may be taken.

The students are responsible for their own clothes and belongings.

Khalsa School

List of necessary School Supplies for all grades

Session 2009 - 2010

# / Supplies / KG / 1 / 2 / 3 / 4 / 5 / 6 / 7 / 8 / 9 / 10
1 / Scissors 4.5” / 1 / 1 / 1
2 / Scissors 6” / 1 / 1 / 1 / 1 / 1 / 1 / 1 / 1
3 / Wax Crayons (Pack of 24) / 1 / 1 / 1 / 1 / 1 / 1 / 1 / 1 / 1 / 1 / 1
4 / Pencils with eraser (pack of Ten) / 2 / 2 / 2 / 2 / 2 / 2 / 1 / 1 / 1 / 1 / 1
5 / Pencil crayons – set of 24 / 1 / 1 / 1 / 1 / 1 / 1 / 1 / 1 / 1 / 1 / 1
6 / Ruler 30cm. / 1 / 1 / 1 / 1 / 1 / 1 / 1 / 1 / 1 / 1
7 / Eraser – White Vinyl / 2 / 2 / 2 / 2 / 2 / 2 / 2 / 2 / 2 / 2
8 / Glue Sticks / 6 / 6 / 6 / 6 / 2 / 2 / 2 / 2 / 2 / 2 / 2
9 / Pencil Box or Pencil Case / 1 / 1 / 1 / 1 / 1 / 1 / 1 / 1 / 1 / 1 / 1
10 / Paper Clips / 1 / 1 / 1 / 1 / 1 / 1 / 1 / 1 / 1 / 1
11 / Felt Colors (24 Pack) / 1 / 1 / 1 / 1 / 1 / 1 / 1 / 1 / 1 / 1 / 1
12 / Fine Felt Pens (24 Pack) / 1 / 1 / 1 / 1 / 1 / 1 / 1 / 1 / 1 / 1
13 / Highlighters / 1 / 1 / 1 / 1 / 1 / 1 / 1
14 / Pens ( Blue & Red) Gel / 6 / 6 / 6 / 6 / 6 / 6 / 6
15 / Duo Tangs / 10 / 10 / 10 / 10 / 10 / 10 / 10 / 10 / 10 / 10
16 / Report Covers / 5 / 5 / 5 / 5 / 5 / 5 / 5
17 / Coiled Note Books / 6 / 6
18 / Note Books – Interlined 72 Page / 4 / 4 / 4 / 4
19 / Note Book – Half Interlined 72 Page / 1 / 1 / 1 / 1
20 / Note Book - Full lines 72 Pages / 1 / 1 / 1 / 1 / 6 / 6 / 6 / 6 / 6 / 6 / 6
21 / Pocket Folders / 4 / 4 / 4 / 4 / 4 / 4 / 4 / 4 / 4 / 4 / 4
22 / Graph paper pad (Pack of 100 Sheets) / 1 / 1 / 1 / 1 / 1
23 / Loose Leaf papers ( Packs of 200 Sheets) / 2 / 2 / 4 / 4 / 6 / 6 / 6 / 6
24 / Binders 3 ring 1.5” / 1 / 1 / 1 / 1 / 1 / 3 / 3 / 3 / 3
25 / Pencil Sharpeners / 1 / 1 / 1 / 1 / 1 / 1 / 1 / 1 / 1 / 1 / 1
26 / Tracing Paper Book / 1 / 1
27 / Scrap Paper Book 14” x 11” / 1 / 1 / 1 / 1 / 1 / 1 / 1
28 / Scotch Tape / 1 / 1 / 1 / 1 / 1 / 1 / 1 / 1 / 1
29 / Dictionary / 1 / 1 / 1 / 1 / 1 / 1 / 1
30 / Thesaurus / 1 / 1 / 1
31 / Scientific Calculator / 1 / 1 / 1 / 1 / 1 / 1 / 1 / 1 / 1 / 1 / 1
32 / Back Pack / 3 / 3 / 3 / 3 / 3 / 3
33 / Index Dividers / 1 / 1 / 1 / 1 / 1 / 1
34 / Geometry Set / 1 / 1 / 1 / 1 / 1 / 1 / 1
35 / Cloth bag with drawstring for PE strip / 1 / 1 / 1 / 1 / 1 / 1 / 1
36 / Agenda (from School) / 1 / 1 / 1 / 1 / 1 / 1 / 1 / 1 / 1 / 1 / 1
37 / Small Notebook for Kirtan class / 1 / 1 / 1 / 1 / 1 / 1 / 1 / 1 / 1

Note: 1. Students are not allowed to use liquid paper for corrections. Do not buy liquid paper.

2. Text Books will be issued by the school. Students will be required to pay for lost or damaged books. Report cards will not

be issued until student has paid any fines owing or school fees.

KHALSA SCHOOL SURREY

NEWTON/OLDYALEROAD/VANCOUVER

E-mail:

Website:

PLEASE ADMIT MY CHILD ______TO GRADE ______

Child’s Family Name ______Male - Female (Circle 0ne)

Address______City______

Postal Code ______Home Phone No. ______

Date of Birth (Month) (Day) (Year) Place of Birth ______Citizenship ______

Child’s Religion ______Amritdhari __Yes / No___Nitnem Daily Yes / No ______

Previous School (Name) ______& City/Prov./Country ______

Grade Completed ______(Date) ______

Level of Punjabi: Reading ______Writing ______

Other children in this School:Name: ______Grade: ______

Name: ______Grade: ______

FATHER:

Name ______Occupation ______Religion ______

Phone (work) ______Cell:______

MOTHER:

Name ______Occupation ______Religion ______

Phone (work) ______Cell:______

Or Legal Guardian:

Name ______Occupation ______Religion ______

Phone (work) ______Cell:______

Emergency contact if parents unavailable: Name ______

Relation ______Phone: ______

Bus Service required? ______

I AGREE TO ABIDE BY THE SCHOOL PHILOSOPHY AND CODE OF CONDUCT (copy is attached)

______DATE: ______

Parent/Legal Guardian Signature.

FOR OFFICE USE ONLY:

Birth Certificate: _____
Care Card:_____
Proof of Parent’s Status: _____
Proof of child’s Status: _____
Proof of Residence

Verified By: ______

Admission Approval: ______

(Principal’s Signature) Date

Khalsa School, Satnam Education Society

Student Medical Information

Please note that the following information is confidential

Student’s name______Date of Birth: ______/____/____ Female or Male

Permanent Address: ______YYYY MM DD

______Country of Birth: ______

______Citizenship: ______

Home Phone Number ______Parents Cell Phone Numbers______

Students email address: ______Parents email address: ______

Care Card No. ______

Physician’s Name ______

Address: ______

______

Telephone ______

Emergency Contact Numbers:

Name / Name
Phone # home: ______
Work:______
Cell:______/ Phone # home: ______
Work:______
Cell:______
Relationship to student / Relationship to student
Address / Address

Medical History

Has the student ever experienced any of the following:

[ ] Arthritis [ ] Sleepwalking [ ] Heart Condition [ ] Diabetes [ ] Seizure Disorder

[ ] Ear Troubles [ ] Sinus Troubles [ ] Migraines [ ] Cancer [ ] Frequent Colds

[ ] Motion Sickness [ ] Epilepsy [ ] Hysteria [ ] NoseBleeds [] Bronchitis

[ ] Tonsillitis [ ] Nightmares [ ] Rheumatism [ ] Fainting [ ] Asthma

[ ] KidneyTrouble [] Convulsions [ ] Skin diseases [ ] High Blood Pressure[ ] Anemia

[ ] Seasonal Allergies [ ] Nut Allergies [ ] Back or Neck pain [ ] Major Surgeries please specify

[ ] Other? Please give specifics.

Medical History Continued……

Do you have any allergies?

[ ] Foods / List foods:
Type of Reaction:
[ ] Insects / Type of Insect:
Type of Reaction:
[ ] Drugs / Name:
[ ] Hay fever / List of Causes:
Type of Reaction:
[ ] Other / Please give specifics

Please explain any specific treatment or drugs for any of the above listed allergies or ailments?

For example, Use of hypo-spray for asthmatic condition or anaphylactic injection for bee stings…..

Check one:

ExcellentGoodPoorAids if Aids are used which ones:

Eyesight[ ][ ][ ][ ] Glasses

Hearing[ ][ ][ ][ ] Hearing Aids

[ ] Contact Lenses

Other Medical History

When was the last time the student had a Tetanus inoculation or booster (d/m/y)? ______

Is the student taking any prescription or non – prescription drugs? [ ] yes [ ] no

Please Specify.

Name of Drug: ______

Reason for taking drug: ______

All the information is accurate as of today’s date. If there are any changes, I agree to contact Khalsa School with the updated information.

Date: ______Signature of Parent or Guardian: ______

Printed Name: ______

Khalsa School, Satnam Education Society

Consent to Medical Treatment

Student’s name______Date of Birth: ____/____/____ Male or Female

Permanent Address: ______YYY MM DD

______Country of Birth: ______

______Citizenship: ______

Home Phone Number ______Parents Cell #’s

Emergency Contact Name: ______

Emergency Contact Number: ______

I agree that Khalsa School accepts no liability in connection with the supervision or administrating of medication to my child. Khalsa School will not supervise the administration of prescribed medication to students unless the parent or guardian expressly authorizes the administration of medication at school, the parent or guardian provides explicit written instructions regarding the manner in which the medication is to be administered, and there is staff available to undertake this task.

I do hereby consent to administrating prescription medication and to emergency medical treatment to my son/daughter while he/she is at Khalsa School.

Student Drug Allergies: ______

Signature Parent/Guardian: ______

Printed Name: ______

Date: ______

I do not wish my son/daughter to be given any medication while he/she is at Khalsa School.

Signature Parent/Guardian: ______

Printed Name: ______

Date: ______

PHYSICIAN’S STATEMENT

I, ______, am a qualified Physician licensed to practice in British Columbia. I am the attending physician for ______and hereby approve and authorize the medication and the administration of such medication referred to above.

DATED at ______, B.C., ______200__. ______

Physician Signature

Physician Printed Name &

Identification number

______

KHALSA SCHOOL SURREY

NEWTON/OLDYALEROAD/VANCOUVER

Email:

Website:

CODE OF CONDUCT

AS A STUDENT OF KHALSA SCHOOL YOU ARE EXPECTED TO PRACTICE GOOD MANNERS AND TREAT OTHERS WITH RESPECT AND KINDNESS; TO ACT ACCORDING TO THE PRINCIPLE OF VIRTUE, EXCELLENCE AND GRACE; TO USE GOOD COMMON SENSE.YOU WILL EXCEL AS AN INDIVIDUAL AND AS A SIKH.

SHOULD THESE EXPECTATIONS NOT BE MET BY A STUDENT, THERE WILL BE A WARNING, DETENTION OR PARENT MEETING. IF NECESSARY, A STUDENT WILL BE SUSPENDED FROM THE SCHOOL, WE HOPE THAT NO STUDENT WILL BE EXPELLED, BUT THIS IS AN OPTION IF, DESPITE ALL EFFORTS, THE STUDENT’S BEHAVIOUR IS NOT CHANGED.

Unless a student has made arrangements with a teacher, the student should arrive no earlier than 10minutes before the first bell. There is no supervision if the child arrives too early at the school in the morning.

Khalsa School has a closed campus policy. This means students must remain on the school grounds from the time they arrive until dismissal at the end of the school day. Students must stay at the school for the lunch period. If students leave the premises without prior approval, he or she will be suspended.

Students who are late in the morning must report to the office for a late slip.

Visitor/parents who come to Khalsa School must check in at the office upon arrival and have permission to enter the premises.

All students, guests and staff are required to wear a head covering at all times, even during physical education activities.

6.The Gurdwara is a place for reverence and students are expected to show the utmost respect.

7.Move quietly in hallways, always using the right side, and only use those hallways/stairs assigned to each grade.

8.All lunches and snacks must be vegetarian (no meat, fish or eggs).

9.Report to a supervising teacher about any situation, which you consider dangerous to yourself or others.

10.If you are assigned a locker, you are responsible to take care of it. Lockers will be and can be inspected from time to time by administration or teachers.

11.While travelling in our school buses, students must always remain seated, talk softly, keep their hands inside the bus and follow all safety rules. Students may not bring hockey sticks on the bus. Any infraction of these rules will lead to suspension of bus service to the student.

12.Bus students are advised that the buses have set schedules to meet both coming to and leaving school. Therefore, if you are late, the bus drivers will be unable to wait for you.

13.Gum chewing is not permitted on the buses or at School.

14.Items not allowed at school or in school buses; PSP’s, DVD player, Game Boys, Nintendo DS, Ipods, MP3 players, cell phones, skateboards, any type of skates, play guns (including water guns), liquid paper, or gum etc. If confiscated, no item will be returned.

15.All bikes must be locked and placed in a bike rack. Bikes are not to be used until school is dismissed.

16.Rules regarding school uniform are given below and must be followed, they are as follows:

The regular school uniform is required while travelling to and from School, throughout the School day and for Field Trips, unless otherwise specified in writing from the administration. Shirts must always be completely tucked into your pants.

The head covering must come across the forehead; no hair is to be showing in the front. If a female is wearing a dupatta, she must also wear a rumal.

Female students must wear their hair in one or two braids only or a Jura on top of their head.( No pony tails, no loose hair)

Only a plain white shirt under the uniform can be worn.

 No jackets can be worn in the Gurdwara or the classroom.

During lunch time, Khalsa School Gym strip may be worn if desired, and is required during gym periods; no other PE clothes allowed. Shorts are not allowed.(except sports league tournaments)

Khalsa school uniform must be worn on all FIELD TRIPS.

Items not permitted: nail polish, make up, lipsticks, rings, necklaces, earrings, vests, flairs, jeans, baseball caps, shorts, tearaways or another personal item that are not permitted under the uniform.

Amrit Dhari students must wear the five K’s.

Check School Uniform information for more detail.

THIS IS NOT AN EXHAUSTIVE LIST OF SCHOOL RULES. ANY BREACH OF GOOD MANNERS OR OF DISCIPLINE IS A BREACH OF SCHOOL RULES.

Dear Parents,

Please discuss the Code of Conduct with your child. Please make sure that it is understood so that there will be no misunderstandings.

Thank you for your co-operation.

Parent/Legal Guardian’s Signature______Date______

Parents Name: ______

Student Signature ______Date______

Student’s Name (Please Print): ______