Online RegistrationThis registration form will go directly to the office and you will be contacted and billed for the registration cost. Student InformationChild's Legal Name First Middle Last Name your child prefers (if different than above) Gender Male Female Date of Birth MM slash DD slash YYYY Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Home PhoneGrade Entering Health/Medical/Educational Needs: (Allergies, Special Medication, Learning Disabilities, ADD/ADHD, or Speech/Language Delay, etc.) If yes, please explain.Parent/Guardian InformationMother's Name First Last Employer Employer PhoneCell PhoneHome PhoneEmail Address Father's Name First Last Employer Employer PhoneCell PhoneHome PhoneEmail Address Primary Contact First Last Emergency Contact Information (if parents cannot be reached)Name First Last NumberRelationship to Student Name First Last NumberRelationship to Student Name First Last NumberRelationship to Student Please Check One:PreschoolK-3 Program (Registration $350) 3 and potty trained by September 1st 9 Month Payment Plan $520.00 10 Month Payment Plan $468.00 11 Month Payment Plan $426.00 Paid in Full 4,640.00 Mon-Friday Class 8:15-3:00K-4 Program (Registration $350) 4 by September 1st 9 Month Payment Plan $520.00 10 Month Payment Plan $468.00 11 Month Payment Plan $426.00 Paid in Full 4,640.00 Mon-Friday Class 8:15-3:00K-5 Program (Registration $350.00) 5 by September 1st 9 Month Payment Plan $575.00 10 Month Payment Plan $518.00 11 Month Payment Plan $471.00 Paid in Full 5,110.00 Mon-Friday Class 8:15-3:00Elementary1st Grade (Registration $350.00) 9 Month Payment Plan $575.00 10 Month Payment Plan $518.00 11 Month Payment Plan $471.00 Paid in Full 5,110.00 2nd Grade (Registration $350.00) 9 Month Payment Plan $575.00 10 Month Payment Plan $518.00 11 Month Payment Plan $471.00 Paid in Full 5,110.00 3rd Grade (Registration $350.00) 9 Month Payment Plan $575.00 10 Month Payment Plan $518.00 11 Month Payment Plan $471.00 Paid in Full 5,110.00 4th Grade (Registration $350.00) 9 Month Payment Plan $575.00 10 Month Payment Plan $518.00 11 Month Payment Plan $471.00 Paid in Full 5,110.00 5th Grade (Registration $350.00) 9 Month Payment Plan $575.00 10 Month Payment Plan $518.00 11 Month Payment Plan $471.00 Paid in Full 5,110.00 6th Grade (Registration $350.00) 9 Month Payment Plan $575.00 10 Month Payment Plan $518.00 11 Month Payment Plan $471.00 Paid in Full 5,110.00 7th Grade (Registration $350.00) 9 Month Payment Plan $575.00 10 Month Payment Plan $518.00 11 Month Payment Plan $471.00 Paid in Full 5,110.00 Additions 7:30-5:30 Before/Afterschool Students additional monthly charge is $75.00 with a 3% discount for siblings. Drop-in rate for Excel is $10.00 a day. (no discount for drop-in rates) If you will be utilizing our before and/or after-school programs, please fill in approximate days/times you will need. The before-school program is available daily, Monday-Friday 7:30 a.m. to 8:10 a.m. The after-school program is available daily, Monday - Friday 3:00 p.m. to 5:30 p.m.Monday's ArrivalMonday's DepartureTuesday's ArrivalTuesday's DepartureWednesday's ArrivalWednesday's DepartureThursday's ArrivalThursday's DepartureFriday's ArrivalFriday's Departure Add RemoveSee example: Mondays Arrival: 7:45 a.m. Departure: 4:45 p.m.People authorized to pick up my child/children Add RemoveFinancial InformationStudent's Name and Grade Add RemoveTuitionPlease check the appropriate box for your tuition payment plan. Pay in full (9-month tuition paid in full) 9-month plan (monthly payments beginning: Sept. 1 and end May 30 of next year) 10-month plan (monthly payments beginning: Aug. 1, and end May 30 of next year) 11-month plan (monthly payments beginning: July 1, and end May 30 of next year) Paid in Full by September 20, 2024 Tuition AssistanceIf you will be asking for tuition assistance, please stop by the school office and pick up a tuition assistance request form. Please note tuition assistance request forms must be returned to the office by May 30th.Parent Signature and Date(Required) How did you hear about CCS? (Family, friends, newspaper, internet, etc.) Why are you seeking enrollment at CCS? EmailThis field is for validation purposes and should be left unchanged.
