ADMISSIONS old | Grace Valley Academy

Registration

Start children off on the way they should go, and even when they are old they will not turn from it.
Proverbs 22:6
All your children will be taught by the Lord, and great will be their peace.
Isaiah 54:13
I have no greater joy than to hear that my children are walking in the truth.
3 John 1:4

Grace Valley Academy Philosophy:
We believe that our future Christian men and women need more (and sometimes less) than what is taught in the public school system.
We believe they need to be intentionally and intensively discipled.

Child Name

Birthday

Current Age

Tee Shirt Size

Small

Medium

Large

Parents Names

Home Phone

Street Address

City

State

Zip Code

Cell Phone(s)

Parents Email

Child's Physician's Name

Physician's Phone

Physician's Address

City

State

Zip Code

Any current illness/diagnosis: Required

Yes

If yes, please explain:

Any current medications being taken: Required

Yes

If yes, please list:

Does the child's family currently attend a church? Required

Yes

If yes, which one?

Town:

Does the child’s family understand/agree that their child will be exposed to The Good News of Jesus Christ as well as the teachings of the Holy Bible while in attendance at Grace Valley Academy? Please sign:

Current/Last School:

Town:

Current/Last Grade

Please check that which applies: Required

Working below age level

Working at age level

Working above age level

Has your child ever repeated a grade? Required

Yes

If yes, which grade(s)?

Briefly explain why grade was repeated:

Has this child had any disciplinary issues at previous schools? Required

Yes

If yes, how was it resolved?

Does this child have a physical or emotional condition, or a learning difference or disability which has required special attention, or which might require special attention? Required

Yes

If yes, please explain the condition:

Has this child been dismissed or suspended from any school? Required

Yes

If yes, please explain dismissal:

Child’s special talents or abilities:

Emergency Contacts:

In the event that we cannot reach you, please list two emergency contacts who are authorized to pick up your child.

Emergency Contact Name #1:

Relationship to Child:

Phone

Emergency Contact Name #2:

Relationship to Child:

Phone

Photo Release:

My child is allowed to have his/her photo taken and used on the GVA Facebook page or website. Required

Yes

If yes, please initial:

Before & After Care:

Due to my work hours, I will need the following care:

Before Care | $20/week

After Care | $20/week

Both | $40/week

I will need to drop my child off at:

Choose a time

I will pick my child up at:

Choose a time

I understand that the cost for these services is NOT included in my child’s membership dues. I understand that this service is only to accommodate my work schedule and I will not abuse this service for any reason other than to get to work (or for a family emergency).

I understand that the cost of this care, if desired, will be added to my weekly or monthly invoices.

Please initial:

I understand that based upon the current/available/potential staffing of GVA, my child’s registration may not be accepted for this application period and that he/she may be placed on a waiting list until additional staffing is obtained.

Please initial:

Parent/Guardian Name

Date

2024-2025 Membership Fees

Child Name

Registration/Curriculum Deposit:

Newly enrolled full-time students: A non-refundable $500 fee ($200 registration + $300 curriculum) is due at the time of acceptance.

Newly enrolled hybrid students: A non-refundable $500 fee ($200 registration + $300 curriculum) is due at the time of acceptance.

All returning students: A non-refundable $300 curriculum fee is due in March, at the time of registration renewal.

Membership fee invoicing is done via 9 monthly installments (please check):

PreK 3

5 full days: $1161 invoiced on the 1st of the month (9/1 thru 5/1)

5 half days: $634 invoiced on the 1st of the month (9/1 thru 5/1

3 full days: $697 invoiced on the 1st of the month (9/1 thru 5/1)

3 half days: $443 invoiced on the 1st of the month (9/1 thru 5/1)

2 full days: $464 invoiced on the 1st of the month (9/1 thru 5/1)

2 half days: $295 invoiced on the 1st of the month (9/1 thru 5/1)

PreK 4

5 days: $950 invoiced on the 1st of the month (9/1 thru 5/1)

3 days: $570 invoiced on the 1st of the month (9/1 thru 5/1)

2 days: $380 invoiced on the 1st of the month (9/1 thru 5/1)

Elementary/Middle

5 days: $633 invoiced on the 1st of the month (9/1 thru 5/1)

3 days: $485 invoiced on the 1st of the month (9/1 thru 5/1) *students will have at-home work to be completed.

2 days: $360 invoiced on the 1st of the month (9/1 thru 5/1) *students will have at-home work to be completed.

Invoices are created and auto-scheduled for the school year based off of choice(s) above.

Please initial:

Family Discount of Membership Fees:

Second child 15% off, third child 20% off, 4th child 25% off, etc.

Payment Options:

All invoices are sent via email. You may pay the invoice directly through email with a debit/credit card or send in check/cash.

Credit Card Charge:

A 2.8% service charge will automatically be added to invoices to cover the debit/credit card fees. If you plan to send in cash/check (preferred), disregard the service fee.

Please initial:

There is a $25 fee for returned checks.

A $20 late fee will be added to the third reminder email of an outstanding invoice..

A child will be removed from membership at GVA if there are more than 4 weeks of outstanding invoices.

Please initial:

In the event of an unplanned occurrence and GVA needs to close for an extended period of time, membership fees cannot be refunded. If numerous inclement weather closures occur, days may be made up in June.

Parent/Guardian Signature:

Date

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