2021-2022 Online Application

Father's Name *

First

Last

Father's Email *

Father's Phone # *

Father's Place of Employment *

Father's Employer Phone # *

Mother's Name *

First

Last

Mother's Email *

Mother's Phone # *

Mother's Place of Employment *

Mother's Employer Phone # *

Family Information

Safety and Emergencies

1. What will be the carpool arrangements for your family? If someone other than the mother or father may pick up your child, please provide us with the name, phone number, and relationship of the person to your family. *

2. Does your child have a medical history, allergies, or medical concerns we need to be made aware of, including dietary restrictions? *

3. The school may dispense over the counter medications as needed for a student, including Acetaminophin, Ibuprofen, and Benadryl Spray (for bits). Do you have any special directions for your children concerning the school dispensing these medications? If no special directions, please write "No Special Directions." *

4. What personal prescription medications will your child have on campus? Please list your child's name, drug name, dosage amount, and instructions, including the self-administration of epi-pens. If no applicable, write "Not Applicable." *

5. PHOTOGRAPHY: For promotion and marketing the school will take pictures and video throughout the school year. Please indicate your agreement for pictures or video of your child to be used by Oak Hill. *

I agree pictures and video of my child may be used by Oak Hill.

6. IMMUNIZATION: Immunization forms are required for new students, incoming K5 students, and incoming 7th grade students. Please indicate your cooperation. *

I have or will turn in my child's immunization form or our family's religious exemption form.

7. TRANSPORTATION: Which form of transportation do you approve of for your child(ren)? Choose all that apply. *

school vehicle with a staff driver staff vehicle with a staff driver other parent's vans/cars other school-approved transportation

Student Information and Enrollment Choice

Enrollment Choices are as follows
(Please write the title of the enrollment choice in the "Enrollment Choice" box.)
Oak Hill Acorns - 2-Day (T/R)
Oak Hill Acorns - 3-Day (M/W/F)
Oak Hill Acorns - 5-Day (M-F)
K4 (M/W/F)
K5
First Grade
Second Grade
Third Grade
Fourth Grade
Fifth Grade
Sixth Grade
Seventh Grade
Eighth Grade
Ninth Grade
Tenth Grade
Eleventh Grade
Twelfth Grade

Educational History and Philosophy

1. Does your child have any suspected or diagnosed learning difficulties or developmental delays? *

2. In the past three years, has your student seen a counselor, psychiatrist, or any other professional or specialist for a behavioral, learning, or social concern? *

3. Has your student ever been dismissed, released from, or expelled from a previous institution, academic or otherwise? If so, please explain. *

4. How do you promote Biblical values in your home? *

8. Please check all that apply: *

I have read the Handbook and am in full agreement. I agree with and support the discipline policy. I agree with and support the learning disability policy. I agree with and support the school clothing policy. I agree with and support the statement of faith. I agree with and support the school philosophy. I agree with and support the grading and assessment policy. I agree to have my child taught in the home according to Oak Hill's mission and vision.

Financial Commitment

Please Note: Contractual obligations begin once the Director of Admissions sends the student's acceptance letter. Financial commitments are binding for the entire school year. This holds for students who withdraw anytime during the school year, whether the second week or mid-year.

I agree to pay this student's tuition amount by *

*Please note that tuition payments over 10 days late will receive a 5% late charge added to the account.

Applicant Signature

By writing my full name in the box below and submitting this form, I certify this application is correct. I understand my financial and parental commitment and the dates for tuition payment. I agree to faithfully meet my obligations to Oak Hill. I have read, understand, and agree with the school's guidelines and policies as set forth in this registration packet pertaining to my role as a parent.

Please Note: Contractual obligations begin once the Director of Admissions sends the student's acceptance letter. Financial commitments are binding for the entire school year. This holds for students who withdraw anytime during the school year, whether the second week or mid-year.