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Academic Year

Campus Location

Gainesville Campus

Waldo Campus

Student Information

Full Legal Name*

Date of Birth

Gender

Grade Level*

Students Home Address*

City

State

Zip Code

Parent/Guardian Information

Parent Guardian #1

Full Name:

Phone*

Address (if different from the student)*

City*

State*

Zip Code*

Parent/Guardian #2

Full Name:

Phone*

Address (if different from the student)*

City*

State*

Zip Code*

Emergency Contact (other than Parent/Guardian)

Full Name

Relationship to the Student*

Phone

Email

Previous School Information (if transferring)

School Name

Last Grade Completed

City*

State*

Medical/Health Information

Primary Physician

Phone

Reason for transfer

Required document checklist

Birth Certificate

Immunization Records

Recent Physical Exam

Previous School Records (if applicable)

Proof of Address

Parent ID

Conscent and Agreement

By signing below, I confirm that the information provided is accurate and complete. I agree to comply with the policies and procedures of Grace Christian Prep School and submit the required documents for enrollment.

Parent/Guardian Signature

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Date

Private School Enrollment Registration Form

GRACE CHRISTIAN PREP SCHOOL

Serving Gainesville and Waldo, Florida

207 NW 23rd Avenue, Gainesville, Florida 32609

Phone: 352-554-4733

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