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Family Registration Form

Grade 1- 12 2024/2025 Applications will open Nov 1, 2023

Please fill in the following information as complete as possible. In addition to this form, the following must be submitted for the Registration to be complete:

1) Legal Residency of Parent/Guardian Form

2) If applicable, a Student Profile Grade 1 - 12 for each student grades 1 - 12. A copy of the birth certificate and most recent report card will need to be uploaded with each Student Profile

3) If applicable, a Kindergarten Profile for each kindergarten student. A copy of the Birth Certificate for each student will need to be uploaded with each Kindergarten Profile

4) The Pastoral Reference Form will need to be submitted from your church

5) $200 Registration Fee as part of this form. See instructions at bottom of form.

6) $500 Capital Assessment Fee: will be charged AFTER the interview is completed and spaces are offered. See instructions at bottom of form.

* please note: these fees are not tax receiptable, and non-refundable.

What is your Citizenship Status? * (this determines Domestic/International Student Status)

Canadian citizen

Permanent Resident

Work/study Visa - Please click the link below to fill out our International Registration Form

Visitor Visa - Please click the link below to fill out our International Registration Form

International - Please click the link below to fill out our International Registration Form

International Registration

Main Contact Email: *

Please confirm your email address: *

Main Contact Phone Number: *

Is the main contact phone number: *

Home

Cell

Family Children: Please note a separate Student Profile must be filled out for each child

Child's Name (First & Last): *

Gender: *

Male:

Female:

Grade application: *

Year Registration Applied For: *

Child's Name (First & Last):

Gender:

Male:

Female:

Grade application:

Year Registration Applied For:

Child's Name (First & Last):

Gender:

Male:

Female:

Grade application:

Year Registration Applied For:

Child's Name (First & Last):

Gender:

Male:

Female:

Grade application:

Year Registration Applied For:

Would you consider split enrolment if you are registering two or more children? Split enrolment is where some, but not all, of your registered children would be offered spaces in the situation where LCS can offer space in some, but not all, grades requested.

Yes

Uncertain

Will you require bus transportation? *

Yes

Uncertain

Do you have other children not included with this application? If yes, please fill in information below. *

Yes

Child's name:

Year Born:

Other school attending if applicable:

Child's name:

Year Born:

Other school attending if applicable:

Child's name:

Year Born:

Other school attending if applicable:

Regarding having photographs of my child (ren) used by Langley Christian School in the yearbook, newsletters, website, and other promotional materials: *

I/we do consent

I/we do not consent

I/we do not consent with the exception of the yearbook

Parent 1/Guardian Information

Salutation *

First Name *

Initial 🛈

Last Name *

Address 1 *

Address 2

City *

Province *

Postal Code *

Main Phone: *

Is the main contact phone number: *

Home

Cell

Email Address *

Church attending: *

If you are an alumni of LCS, what year did you graduate?

Employer

Occupation

Parent 2/Guardian Information

Salutation

First Name

Initial 🛈

Last Name

Address 1

Address 2

City

Province

Postal Code

Cell Phone:

Email Address

Church attending:

If you are an alumni of LCS, what year did you graduate?

Employer

Occupation

Getting To Know You Better

Why are you applying for registration at Langley Christian School? *

How do you promote a Christian lifestyle at home? *

Please give a statement of your personal Christian faith. *

What are your expectations of Langley Christian School? *

Who or what influenced your decision to enrol your child(ren) at Langley Christian School? (Check one or more) *

Conditions and Commitment of Registration

I/We the parent(s)/guardian(s) of the student(s) named in the preceding pages declare the following:

I/We have read the materials in the information package and fully understand the commitment I/We are making.

I/We have been truthful in answering questions pertaining to my child(ren)'s previous school experience and learning and/or any special ed supports, assessments, or reports my child(ren) has received or scheduled to receive

In making this application, I/we understand and agree with the purpose of this school as stated in Article 2 of the Constitution and indicate that I/we enroll our child(ren) because of our earnest desire that they receive a Christ centered education. If my/our children are accepted by the schools we agree that their education will be in harmony with the constitution of the society, that they are subject to the policies of the school’s board, and they are also subject to the authority invested by the board in the principal and classroom teacher.

I/We are paying a one time registration fee of $200.00 and understand that:
1. $100 of the registration fee is refunded if the application is not accepted or LCS is unable to offer space.
2. There is no refund if the application is withdrawn.

I/We understand a $500.00 capital assessment fee will be required. Recognizing that tuition does not cover the costs of educating a child at LCS, LCS instituted a $500 Capital Assessment Fee that each family pays after the official interview/acceptance at LCS in recognition of the obligation of LCS families to ongoing capital expenses. As an independent school LCS receives partial operating grants from the Government for the educational program but no capital grants. The Capital Assessment Fee provides for some of that; it is everyone’s contribution to the LCS facilities.

This ONE TIME fee is non-refundable and separate from tuition.

LCS requires a minimum of one month's notice if a student is leaving, or the following month's tuition will be charged. Families who notify us after June 1st that their child(ren) will not be returning in September will be responsible for paying tuition for their September fees.

I/We understand that all financial transactions between school and home are through School Cash Online (SCO). Instructions on setting up your account will be sent to you in the first few weeks of your children attending LCS.

Langley Christian School is committed to your child’s safety and security in every way, including online services. To that end we seek to use only service providers that adhere to strict privacy and security guidelines. LCS is required by law to obtain parental consent for digital services we use in the school for management and educational purposes. These digital services are ‘cloud-based’ programs, which means they are accessed from servers outside of the school, and some school data is retained on those servers. The primary program Langley Christian School uses for student management is MyEducation BC, a management program provided by the Ministry of Education and used extensively in public and independent schools throughout BC. Data security is paramount for MyEd BC. The primary service provider we use in the school for educational purposes is Google for Education (also called G-Suite for Education), which includes a number of applications designed specifically for K-12 schools

Regarding the information as stated above, *

I/We agree

If person responsible for financial obligation is different from parent(s)/guardian(s) with whom student lives, please list name and address:
Name

Address 1

Registration Fees

REGISTRATION FEES: A $200 Registration Fee and a $500 Capital Assessment Fee is required with each application.

There are two methods of paying:

1) Credit Card: By filling in the secure credit card information below, we will process your $200 Registration Fee in our office once all of the Registration Information is complete. We will also process the one time $500 Capital Assessment Fee AFTER the interview has been completed and spaces offered.

2) You can also mail in or drop off cheques to the LCS Central Office. If using cheques, one cheque is requested for each of the fee's. $200 Registration Fee and a second cheque for the $500 Capital Assessment Fee.

Please bring in cash in person.

Please note registrations are not considered complete until all the information is submitted including the Registration Fee and Capital Assessment Fee.

Please check preferred payment option for the $200 Registration Fee and the $500 Capital Assessment Fee: *

Credit Card (Please fill in information below)

Cheques (Will be submitted to LCS Central Office)

Debit my bank account (Please fill in banking information)

Credit Card: Name on Card

Credit Card Type

Credit Card Number

Expiration Date (mm/yy)

CSV

Bank account: If you did not fill in above, please fill in your banking information or upload a picture of a blank cheque below. Please include Branch, Institution and Account Number. This information can be found on your cheque.

Picture of blank cheque:

Conditioned on acceptance, how would you like tuition payments like to be withdrawal? *

One Payment Plan (2% Discount)

Two Payments Plan (1% Discount)

Ten Month Payment Plan (Sept-June)

Twelve Month Payment Plan (July - June)