Online Registration This registration form will go directly to the office and you will be contacted and billed for the registration cost. Step 1 of 6 16% CommentsThis field is for validation purposes and should be left unchanged.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 StateAlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Home PhoneGrade EnteringHealth/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 EmployerEmployer PhoneCell PhoneHome PhoneEmail Address Father's Name First Last EmployerEmployer PhoneCell PhoneHome PhoneEmail Address Primary Contact First Last Emergency Contact Information (if parents cannot be reached)Name First Last NumberRelationship to StudentName First Last NumberRelationship to StudentName First Last NumberRelationship to StudentPlease Check One:PreschoolK-2 Program (Registration $350) 2 and potty trained by September 1st 9 Month Payment Plan $555.00 10 Month Payment Plan $500.00 11 Month Payment Plan $454.00 Paid in Full 5,000.00 Mon-Thursday Class 8:15-3:00K-3 Program (Registration $350) 3 and potty trained by September 1st 9 Month Payment Plan $555.00 10 Month Payment Plan $500.00 11 Month Payment Plan $454.00 Paid in Full 5,000.00 Mon-Thursday Class 8:15-3:00K-4 Program (Registration $350) 4 by September 1st 9 Month Payment Plan $555.00 10 Month Payment Plan $500.00 11 Month Payment Plan $454.00 Paid in Full 5,000.00 Mon-Thursday Class 8:15-3:00K-5 Program (Registration $350.00) 5 by September 1st 9 Month Payment Plan $600.00 10 Month Payment Plan $540.00 11 Month Payment Plan $490.00 Paid in Full 5,400.00 Mon-Thursday Class 8:15-3:00Elementary1st Grade (Registration $350.00) 9 Month Payment Plan $600.00 10 Month Payment Plan $540.00 11 Month Payment Plan $490.00 Paid in Full 5,400.00 2nd Grade (Registration $350.00) 9 Month Payment Plan $600.00 10 Month Payment Plan $540.00 11 Month Payment Plan $490.00 Paid in Full 5,400.00 3rd Grade (Registration $350.00) 9 Month Payment Plan $600.00 10 Month Payment Plan $540.00 11 Month Payment Plan $490.00 Paid in Full 5,400.00 4th Grade (Registration $350.00) 9 Month Payment Plan $600.00 10 Month Payment Plan $540.00 11 Month Payment Plan $490.00 Paid in Full 5,400.00 5th Grade (Registration $350.00 & Tech Fee $100) 9 Month Payment Plan $611.00 10 Month Payment Plan $550.00 11 Month Payment Plan $500.00 Paid in Full 5,500.00 6th Grade (Registration $350.00 & $100 Tech Fee) 9 Month Payment Plan $611.00 10 Month Payment Plan $550.00 11 Month Payment Plan $500.00 Paid in Full 5,500.00 7th Grade (Registration $350.00 & $100 Tech Fee) 9 Month Payment Plan $611.00 10 Month Payment Plan $550.00 11 Month Payment Plan $500.00 Paid in Full 5,500.00 8th & 9th Grade (Registration $350.00 & $100 Tech Fee) 9 Month Payment Plan $611.00 10 Month Payment Plan $550.00 11 Month Payment Plan $500.00 Paid in Full 5,500.00 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 10, 2025 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. Further InformationPlease read carefully and initial each paragraphRegistration(Required)Registration fees are due at the time of registration. Your child's enrollment is not secured until a registration fee is paid in full. The fee is non-refundable and will not be pro-rated for partial year attendance. Your registration fee will be refunded if your child does not pass the screening, or the class remains full. I have read fullyInitial(Required)Lunches(Required)A lunch program is available Monday-Friday. The cost of lunches will be charged to your monthly billing. Children are always welcome to bring a sack lunch. Please include an ice pack; we do not have space to refrigerate lunches. Lunches must come "ready to serve." Teachers cannot microwave your child's lunch. I have read fullyInitial(Required)Tuition Payment Plan Options(Required)• Tuition paid in full (9-month tuition paid in full) • 9-month plan (total tuition payment divided into 9 equal payments beginning Sept 1, 2026, and ending May 30, 2027) • 10-month plan (total tuition payment divided into 10 equal payments beginning Aug. 1, 2026, and ending May 30, 2027) • 11-month plan (total tuition payment divided into 11 equal payments beginning July 1, 2026, and ending May 30, 2027) I have read fullyInitial(Required)Tuition Payments(Required)• Billing will be done on the 1st of every month and is due by the 10th • Discount for multiple children is $25.00 off each child's tuition per month per child excluding the first child. • Additional charges that may appear on your bill may include, but not limited to, lunch charges, field trip charges, etc. • Late payments may result in additional late fees, termination of enrollment, the use of collection services, or fill the above. • Families that have a history of unpaid tuition or have been referred to a collection agency will be denied re-admission to Canyonside Christian School unless, prior to enrollment, prepayment for one entire year is made for all fees and tuition. I have read fullyInitial(Required)Tuition Assistance(Required)• Please submit a scholarship application if you are in need of tuition assistance. For scholarship consideration, you must submit copies of page 1 and 2 of your 1040 tax form to the office no later than May 30, 2026. • Please share a brief statement about why enrolling your child at Canyonside Christian School is important to your family. • Scholarship applications that fail to provide all requested information will not be considered for a CCS scholarship. I have read fullyInitial(Required)Before/After-School Programs (EXCEL)(Required)• Our EXCEL program is available with limited enrollment. Children must be registered for this program. • All "drop-ins" must receive prior permission from the office. ("drop-ins" are children not utilizing the program on a weekly basis) • Children in the EXCEL program must be picked up no later than 5:30 p.m. A $5.00 per quarter hour fee per child will be charged to your account for children remaining after 5:30 p.m. • Our EXCEL program is offered on some non-school days but will depend on demand and staffing. I have read fullyInitial(Required)Early Withdrawal(Required)Families are responsible for fulfilling their financial commitment to Canyonside Christian School as outlined in their tuition agreement. Tuition and fees remain due in full according to the selected payment plan, regardless of a student's withdrawal from the school. This policy ensures that CCS can continue to operate responsibly, maintain staffing, and uphold the educational experience for all students. I have read fullyInitial(Required)Early Withdrawal(Required)We understand that unexpected situations may arise that lead a family to withdraw their student from Canyonside Christian School. In such cases, families may meet with the Administrator and a Board Member, or with the Board of Directors, to share the circumstances surrounding their decision. Following this review, a determination will be made regarding whether the remaining tuition obligation will be adjusted or upheld. I have read fullyInitial(Required) Handbook Acknowledgment FormAt Canyonside Christian School, our desire is to partner with families to help students grow in mind, body, and spirit through Christ-centered education. To ensure clarity and unity throughout our school community, we ask each family to review and acknowledge the CCS Parent & Student Handbook.Student Name(s)(Required)Grade(s)(Required)Parent/Guardian Name(s)(Required) Please review the handbook below before continuing: 📄 Open Handbook (PDF) Opens in a new tab for easier viewing on mobile. Consent(Required)By signing below, I/we acknowledge the following: • I/we have received and reviewed the Canyonside Christian School Parent & Student Handbook. • I/we understand and agree to support the policies, procedures, and expectations outlined in the handbook, including: • Academic standards and classroom expectations • Attendance and communication procedures • Conduct, discipline, and character expectations • Technology and device use guidelines • Dress code standards • Tuition, fees, and financial policies • Parent volunteer requirements (if applicable) • I/we understand that CCS may update policies throughout the school year, and that the school will notify families should any significant changes occur. • I/we agree to partner with Canyonside Christian School in creating a safe, respectful, and Christ-centered environment where students can grow and thrive. • I/we understand that enrollment at CCS is a privilege1 and continued enrollment is based on cooperation with school policies and support OT CCS's mission. I have read and understand the Student HandbookParent Signature and Date(Required)By typing your name in the field above, you are signing this Form electronically. You agree that your electronic signature is the legal equivalent of your manual or 'wet' signature, and you consent to be legally bound by this agreement's terms and conditions.2026 - 2027 Canyonside Christian School Commitment of ParentsPlease read carefully and initial each paragraph.Commitment of Parent(Required)It is my understanding that the policy of Canyonside Christian School is to make no refunds on registration fees. Payment of the registration fee will hold my child's place until the first month tuition is due. Tuition billings will be mailed out no later than the 5th of each month and payment is due upon receipt of the bill and no later than the 10th of each month. I, the parent/guardian, am responsible for the school bills and debts incurred. A finance charge will be added to all accounts that are overdue. All payments for tuition and fees are due at the time of invoice. Late payments may result in additional late fees, termination of enrollment, the use of collection services, or all of the above. A $20.00 charge is applied on any returned checks. I am aware that my child's enrollment will be terminated if payment is more than 60 days late. I have read fully and understand.Initial(Required)Commitment of Parent(Required)The before/after-school program is available for an additional fee, please see attached price list. A late pick-up fee of $5.00 per quarter half hour is applied to each child remaining after 5:30 p.m. I have read fully and understand.Initial(Required)Commitment of Parent(Required)The contract may be terminated at any time on behalf of Canyonside Christian School (CCS) when the student hinders the learning environment of others, or the Board and staff feel the "Parent Partnership Agreement" is not upheld. Any changes in contracts need to be submitted in writing prior to the effective date. I have acknowledged the financial commitment to CCS as outlined in the tuition agreement. I have read fully and understand.Initial(Required)Commitment of Parent(Required)Please do not bring your child to school if he/she is running a fever, vomiting, or has any contagious infections. Runny noses that are not running clear are infections and contagious. If your child is on medication, parents or guardians must fill out a medication form in the office before any medications can be administered at school. Under no circumstances will my child be given over the counter medication without prior approval. I have read fully and understand.Initial(Required)Commitment of Parent(Required)We hereby agree and fully support the disciplinary action stated in the CCS Student Handbook and understand that my child's enrollment can be terminated at any time due to discipline related issues or as deemed necessary by the Board of Directors. In the event my child needs to be removed from the facility for all or part of the day, I will promptly remove him/her. I have read fully and understand.Initial(Required)Commitment of Parent(Required)Parents are responsible for obtaining their own medical and accident insurance coverage and are responsible for any medical bills incurred while at CCS. I have read fully and understand.Initial(Required)Commitment of Parent(Required)We give permission for our child (listed below) to go on field trips and other school outings held by CCS for the 2026-2027 school year with proper adult and teacher supervision. We absolve CCS from liability to our child because of injury of any kind at the school or during any school related activity. I have read fully and understand.Childs Name(Required)Initial(Required)Commitment of Parent(Required)We are informed that an image(s) of my child may be posted on the Canyonside Christian School website. As the parent or legal guardian of my child, I hereby consent for picture(s), video(s), and audio images to be displayed on the Canyonside Christian School web page and other publications or marketing materials provided by the school I have read fully and understand.Media Release(Required) I DO give permission for my childs image to be used I DO NOT give permission for my child's image to be used Initial(Required)Commitment of Parent(Required)lf for some reason, we cannot be contacted in what the school considers to be a sufficient time, our permission is granted to those in authority to obtain emergency/medical help for my child. I have read fully and understand.Initial(Required) 2026 - 2027 Canyonside Christian School Parent Partnership AgreementParent Partnership Agreement(Required)Canyonside Christian School values parents who are actively engaged in their child's education and committed to partnering with the school to support their student's growth. I understand that tuition does not fully cover the cost of educating my child(ren), and I agree to support CCS by participating in fundraisers through volunteering or purchasing products. I have read fully and understand.Initial(Required)Parent Partnership Agreement(Required)Limited finances keep us from hiring the specialized teachers needed to aid children with specialized learning disabilities, social, emotional, or behavioral needs. Therefore, children needing significant amounts of redirection and one on one teacher time and/or independent special services need to seek an educational environment that is staffed to do so. I have read fully and understand.Initial(Required)Parent Partnership Agreement(Required)I pledge to volunteer up to 12 hours per family (6 hours per student, capped at two students) for the 2026-2027 school year. Families may choose to opt out of volunteer hours by paying $25 per uncompleted hour. I understand that I will be billed for any hours not completed by the end of the 2026-2027 school year. All outstanding volunteer fees must be paid before registration will be accepted for the following school year. I have read fully and understand.Initial(Required)Parent Partnership Agreement(Required)I understand that it is my responsibility to sign up for my volunteer hours and check in with my child's teacher, PTF/Fundraising Coordinator, or school administrator depending on the event so that my hours are accounted for. These hours may include involvement in the classroom, at home, during fundraisers, field trips, committees, and other school activities. I have read fully and understand.Initial(Required)Parent Partnership Agreement(Required)If a family is unable to complete their mandatory volunteer hours due to special circumstances, they are encouraged to communicate with their child's teacher or the school administrator. Together, they will discuss available options and determine an appropriate plan to meet the volunteer requirement. I have read fully and understand.Initial(Required) Mandatory Volunteer Hours Information Please download a copy for you records: 📄 Open Handbook (PDF) Opens in a new tab for easier viewing on mobile. Submit ApplicationParent Signature and Date(Required)By typing your name in the field above, you are signing this Form electronically. You agree that your electronic signature is the legal equivalent of your manual or 'wet' signature, and you consent to be legally bound by this agreement's terms and conditions.How did you hear about CCS? (Family, friends, newspaper, internet, etc.)Why are you seeking enrollment at CCS?
