The information provided will be kept confidential. If you are enrolling more than one student, please fill out a form in its entirety for each child.

Student Information:

Date form completed _______________________ Grade enrolling for _________________ Sex _______

Student’s Name (Last, First, M. I.) _________________________________________________________

Address ______________________________________________________________________________

City, State, Zip ________________________________________________________________________

Student’s Birthday ___________________________ Student’s first day in class ___________________

Please list the names and grades of other siblings enrolled in BCS ________________________________

_____________________________________________________________________________________

Family Information: Student’s Parents _____________________________________________________

Address ______________________________________________________________________________

City, State, Zip ________________________________________________________________________

Home phone _________________________ Work phone, father _________________________________ Work phone, mother _______________________ E-mail address ________________________________

Cell #’s _____________________________________________________________________________

If the student attends church, which church does he/she attend? __________________________________

Are you interested in receiving information about Bethany Bible Church? ______________

What does a person need to do to go to heaven? _______________________________________________

Emergency Information:

In case of an emergency and a parent is not available, whom shall we contact locally?

Name ________________________________________________________________________________

Address ______________________________________________________________________________

City, State, Zip ________________________________________________________________________

Home phone ________________ Work phone _________________ Cell phone ____________________

Financial Information: Person responsible for account ________________________________________

I have received, read and understand the Schedule of Fees, including the section regarding refunds and penalties.

_______________________________________________ _______________________

Signature Date

Schedule of Fees, 2008-2009 School Year

Bethany Christian School, 3300 W. Parker Road

Plano, TX 75075, 972-596-5811, 972-596-5814, fax

Please keep this sheet for your records. The Board, as stated in the BCS Handbook, establishes financial policies. There will be no variance from the policies set by the Board without written authorization from the principal.

Registration: The $200 fee is due with the registration form. The student is not officially registered until both form and fee are received. Students registering before March 31^st will receive a $50 discount.

Testing: All new students must be tested. We use standardized tests and interpret the results for the parent and student. The cost for each test is $50 and is payable before the student is tested.

Curriculum Fee: This fee goes into a designated account from which all curriculum expenses are paid. Large-volume publisher discounts, early ordering, and using some texts for more than one year keep this fee as low as possible. The school retains ownership of all books, but at the end of the academic year, students may remove consumable textbooks assigned to them. Curriculum fees are due July 1^st; a late fee is added on the 11^th. A materials fee may be added to some advanced high school classes.

Tuition: Your tuition bill may be paid monthly. Your first payment is due on the first school day in September. Students not completing the school year must pay for August school days. Students enrolling after the school year has begun are charged a daily rate of $25 for each school day until the end of the month, or the monthly tuition charge, whichever is cheaper. Payments are due on the first; a late fee is added on the 11^th.

Child Care: Before and after school care charges are tabulated and placed on the account at the end of the month. A statement will be sent notifying you of this amount, which is also past due on the 11^th.

Discounts: The discount for full-time younger siblings is $495 per year. $55 is deducted from each of the 9 payments. The sibling discount is on tuition only.

Penalties: Accounts not cleared by the 11^th are charged a $25 late fee. Accounts not cleared by the 15^th are converted to a weekly payment plan. Payments on accounts converted to weekly status must be in the school office by 8:30 a.m. on the first school day of the week for the student to continue in school that week. Past due account fee is $25. Return check charge is $25. No progress reports, report cards or academic information will be provided until a student’s financial account is current.

Refunds: Registration fees, testing fees, and book fees are not refundable unless the school elects to refuse a child or cancels a scheduled class. No tuition is refunded for the month in which the student is withdrawn.

Outdoor Education/Spiritual Emphasis Trip: Some grades may take off-campus trips for educational and developmental purposes. These trips may last as long as a week. Participation is voluntary and the cost of the trip is shared equally by all participants. Fees for the trips are due two weeks before departure.

Classes

Registration

Curriculum

Tuition

Total

K-4

$ 200

$ 125

$3258

$3583

K-5

$ 200

$ 175

$3258

$3633

1st

$ 200

$ 295

$3357

$3852

2nd

$ 200

$ 305

$3357

$3862

3rd

$ 200

$ 315

$3357

$3872

4th

$ 200

$ 325

$3357

$3882

5th

$ 200

$ 335

$3357

$3892

6th

$ 200

$ 345

$3357

$3902

Classes

Registration

Curriculum

Tuition

Total

7-8th

$ 200

$ 405

$3456

$4061

9th

$ 200

$ 425

$3762

$4387

10th

$ 200

$ 435

$3762

$4397

11th

$ 200

$ 445

$3762

$4407

12th

$ 200

$ 455

$3762

$4417

Before School Care:

$6 a day

After School Care: $11 a day

Essay Response Form

For 7^th – 12^th Grade Students

Name of Student _______________________________ Date ____________________

What does a person need to do to go to heaven?

What is your involvement in your local church?

Have you ever been arrested for any reason? (If “yes,” please provide the details)

What involvement have you had with tobacco or alcohol?

What involvement have you had with illegal drugs?

What have you “gotten into trouble” for at your previous school?

Please describe your ability as a student.

Principal Recommendation Form

Instructions to Parents: Please complete the top portion, then give this form to your son/daughter's Principal or other authorized officer at his/her current school. Ask that it be completed and faxed back to us:

Bethany Christian School

3300 W. Parker Road

Plano, TX 75075

972-596-5814 Fax (call 972-596-5811 before faxing)

Name of Applicant _________________________________ Applying for Grade ______ I hereby authorize the release of my student's records, evaluative data, and other appropriate information to BCS.

Signed ___________________________________________ Date _________________

Name of School _______________________ Name of Principal ____________________

Address of School ________________________________________________________

Phone number _____________________ Length of time acquainted with student ______

This student has been sent to my office for disciplinary problems: __ often __ seldom __ never

This student has been suspended _________ times.

Has the student been expelled and therefore is not eligible to return next year? __ yes __ no

Please circle the words that best represent your evaluation of this student:

Category Options

Integrity	Exceptionally upright	Noticeably upright	Upright, no cause to question	Weak or questionable	Record of dishonesty	Insufficient evidence
Conduct	Outstanding in every respect	Generally excellent	Good or acceptable	Marginal	Poor or reprehensible	Insufficient evidence
Leadership & Responsibility	Outstanding, top positions contributes most	Commendable, top or next to top positions	Capable, minor positions	No sign of leadership or involvement	Record of irresponsibility	Insufficient evidence
Interest in non academic activities	Outstanding	Commendable, top or next to top activities	Active	Minor participation	No participation	Insufficient evidence
Respect for authority	Works very well with those in authority	Works well with those in authority	Mild resistance to authority	Periodic rebelliousness to authority	Rebellious to authority	Insufficient evidence
Parental support	Exceptional	Quite good	Average	Sometimes not supportive	Often not supportive, critical of school	Insufficient evidence
Summary	Outstanding	Excellent	Good	Fair	Poor

Is the student's record with you a true index of ability, or have outside circumstances interfered with academic achievement? (For example: illness, excessive involvement in extracurricular activities, difficult home situation, etc.) If not a true index, please explain. ________________________________________

_____________________________________________________________________________________Outstanding talents, accomplishments or reservations not covered by the above categories. ________________________________________________________________________

Friend Recommendation Form

Please complete the top portion, then give this form to an adult friend and ask that it be completed and returned to us:

Bethany Christian School

3300 W. Parker Road

Plano, TX 75075

972-596-5814 Fax (call 972-596-5811 before faxing)

Name of Applicant _________________________________ Applying for Grade ______ I hereby authorize the release of my student's records, evaluative data, and other appropriate information to BCS.

Signed ___________________________________________ Date _________________

How long have you known the student? ______________

What involvement has this student had with illegal substances such as alcohol, tobacco or drugs? _________________________________________________________________

Has the student ever been in trouble before with the Police? _______________________

What is the student’s involvement with his/her local church? _______________________

________________________________________________________________________

Category Options

Integrity	Exceptionally upright	Noticeably upright	Upright, no cause to question	Weak or questionable	Record of dishonesty	Insufficient evidence
Conduct	Outstanding in every respect	Generally excellent	Good or acceptable	Marginal	Poor or reprehensible	Insufficient evidence
Leadership & Responsibility	Outstanding, top positions contributes most	Commendable, top or next to top positions	Capable, minor positions	No sign of leadership or involvement	Record of irresponsibility	Insufficient evidence
Interest in non academic activities	Outstanding	Commendable, top or next to top activities	Active	Minor participation	No participation	Insufficient evidence
Respect for authority	Works very well with those in authority	Works well with those in authority	Mild resistance to authority	Periodic rebelliousness to authority	Rebellious to authority	Insufficient evidence
Parental support	Exceptional	Quite good	Average	Sometimes not supportive	Often not supportive, critical of school	Insufficient evidence
Summary	Outstanding	Excellent	Good	Fair	Poor

Is the above evaluation a true index of ability, or have outside circumstances interfered with the student’s progress? (For example: illness, difficult home situation, etc.) If not a true index, please explain. _____________________________________________________________________________________

_____________________________________________________________________________________

Outstanding talents, accomplishments or reservations not covered by the above categories.

_____________________________________________________________________________________

Teacher Recommendation Form

Instructions to Parents: Please complete the top portion, then give this form to your son/daughter's teacher at his/her current school. Ask that it be completed and faxed back to us:

Bethany Christian School

3300 W. Parker Road

Plano, TX 75075

972-596-5814 Fax (call 972-596-5811 before faxing)

Name of Applicant _________________________________ Applying for Grade ______ I hereby authorize the release of my student's records, evaluative data, and other appropriate information to BCS.

Signed ___________________________________________ Date _________________

Name of School _______________________ Name of Teacher ____________________

Address of School ________________________________________________________

Phone number _____________________ Length of time acquainted with student ______

This student has been sent to the office for disciplinary problems: __ often __ seldom __ never

Please circle the words that best represent your evaluation of this student:

Category Options

Integrity	Exceptionally upright	Noticeably upright	Upright, no cause to question	Weak or questionable	Record of dishonesty	Insufficient evidence
Conduct	Outstanding in every respect	Generally excellent	Good or acceptable	Marginal	Poor or reprehensible	Insufficient evidence
Leadership & Responsibility	Outstanding, top positions contributes most	Commendable, top or next to top positions	Capable, minor positions	No sign of leadership or involvement	Record of irresponsibility	Insufficient evidence
Interest in non academic activities	Outstanding	Commendable, top or next to top activities	Active	Minor participation	No participation	Insufficient evidence
Respect for authority	Works very well with those in authority	Works well with those in authority	Mild resistance to authority	Periodic rebelliousness to authority	Rebellious to authority	Insufficient evidence
Parental support	Exceptional	Quite good	Average	Sometimes not supportive	Often not supportive, critical of school	Insufficient evidence
Summary	Outstanding	Excellent	Good	Fair	Poor

_____________________________________________________________________________________

Outstanding talents, accomplishments or reservations not covered by the above categories. ________________________________________________________________________________

_____________________________________________________________________________________

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