Calvary Baptist Church - Florence, SC: Kindergarten Online Enrollment

Registration Requirements
Placement is based on the student’s age on September 1^st . A $135.00 registration fee must accompany an application to officially enroll your child. This fee is non-refundable unless your family moves out of town.

Please complete all required fields and click the Submit Button.

* Required

Child's Information

First Name *

Middle *

Last Name *

Address Line 1 *

Address Line 2

City *

State *

ZIP Code *

Birthday (M/D/Y) *

Age *

Gender *
Female
Male

Family Information

Mother's Name

(write "same" for mother's address if listed above)

Address Line 1

Address Line 2

City

State

ZIP Code

Home Number *

Cell Number

Work Number

Employer

Position (or previous work experience)

Church Membership

Email Address

Father's Name

(write "same" for father's address if listed above)

Address Line 1

Address Line 2

City

State

ZIP Code

Home Number

Cell Number

Work Number

Employer

Position (or previous work experience)

Church Membership

Email Address

Child's place in family (oldest, youngest, etc)

Other children in the family (name, age)

Previous Nursery School or Kindergarten Attended

Is your child allergic to anything? If no allergies, please type NONE *

Any fears, nervous habits, etc. that might help us understand your child better?

In case of emergency and parents can not be reached, list two (2) close contacts we may call

Hosptial Preference

In which program do you wish to enroll your child? *
Two-day Pre-threes
Three-day Pre-threes
Two-day Threes
Three-day Threes
Five-day Threes
Three-day Fours
Five-day Fours
Five-day Fives

Field Trips

My child has my permission to go on all field trips organized by Calvary Baptist Church Kindergarten during the school year he or she is enrolled. I understand that I will be notified prior to all trips. Children will be transported on the church bus with a licensed driver and chaperones. *
Yes
No

Checking the box acts as your signature and confirms that all above information is accurate and correct. *

Date signed *

I would like to enroll my child in Calvary Baptist Kindergarten because: *