Kuyper Christian Prep School

1General Info

2Academic Info

3Spiritual Info

4Sign

New or Returning Student*
- New Student Registration
- Returning Student Registration
Program*
Grade Applying For*
Academic Year*
Name*
First Middle Last
Sex*
Birth date*
Student lives with:*
- Both Parents
- Mother
- Father
- Guardian
Address*
Street Address Address Line 2 City State ZIP Code
Home Phone*
Cell Phone
Preferred Email*
Secondary Email*
Siblings
Add a new line for each additional sibling.
Sibling's Name Age Present School Applying to KPS (Yes/No)
Father's Information
Father's Name*
First Last
Father's Present Address
Same as above

Street Address Address Line 2 City State ZIP Code
Father's Cell Phone*
Father's Occupation*
Father's Employer*
Father's Work Address
Street Address Address Line 2 City State ZIP Code
Is the student's father a member or regular attender of a church?*
- Yes
- No
Father's Home Church*
Church's Lead Pastor's Name*
Church's Website
Church's Address
Street Address Address Line 2 City State ZIP Code
Mother's Information
Mother's Name*
First Last
Mother's Present Address
Same as above

Street Address Address Line 2 City State ZIP Code
Mother's Cell Phone*
Mother's Occupation*
Mother's Employer
Mother's Work Address
Street Address Address Line 2 City State ZIP Code
Is the student's mother a member or regular attender of a church?*
- Yes
- No
Is this the same church mentioned above in the father's information?*
- Yes
- No
Mother's Home Church*
Church's Lead Pastor's Name*
Church's Website
Church's Address
Street Address Address Line 2 City State ZIP Code
Guardian's Information
Guardian's Name*
First Last
Guardian's Present Address
Same as above

Street Address Address Line 2 City State ZIP Code
Guardian's Cell Phone*
Guardian's Occupation*
Guardian's Employer*
Guardian's Work Address
Street Address Address Line 2 City State ZIP Code
Guardian's Home Church*
Church's Lead Pastor's Name*
Church's Website
Church's Address
Street Address Address Line 2 City State ZIP Code
School background of applicant (please include preschool)
School Name Address Grade(s) Reason for Leaving

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Questions for the Student's Father
1. What are your primary reasons for seeking to enroll your child at Kuyper Preparatory School?*
2. Who, according to your understanding, is Jesus Christ?*
3. What do you believe concerning the death and resurrection of Jesus Christ?*
4. Describe your relationship to Jesus Christ.*
Questions for the Student's Mother
1. What are your primary reasons for seeking to enroll your child at Kuyper Preparatory School?*
2. Who, according to your understanding, is Jesus Christ?*
3. What do you believe concerning the death and resurrection of Jesus Christ?*
4. Describe your relationship to Jesus Christ.*
Questions for the Student's Guardian
1. What are your primary reasons for seeking to enroll your child at Kuyper Preparatory School?*
2. Who, according to your understanding, is Jesus Christ?*
3. What do you believe concerning the death and resurrection of Jesus Christ?*
4. Describe your relationship to Jesus Christ.*

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I, the undersigned, do hereby commit:
- that all of the information provided on this application is true to the best of my knowledge, and that I have not intentionally withheld or misrepresented any pertinent data.
- to release Kuyper Christian Prep School and South Bay Community Church* from all liability associated with personal injury or property damage, which may occur on or about these premises.
- to fulfill my financial obligations to Kuyper Christian Prep School, specifically, I understand:
  - that I am responsible for the timely payment of the full annual tuition and other fees due Kuyper Christian Prep School even if my child is voluntarily withdrawn or expelled from school.
  - that in the event I decide to withdraw or not re-enroll my child in Kuyper Christian Prep School, I will, for the school’s benefit, inform the school office in writing of my reasons.
  - that I am responsible for damages to school property made by my child.
- to fully support and abide by all Kuyper Christian Prep School policies, including the School Uniform Policy. I affirm that I have read the Student-Parent Handbook.
- to support school personnel, programs and activities with prayer and communication, and, where possible, to serve as a volunteer in various capacities.
- to nurture habits of punctuality, thoroughness, neatness, honesty, resourcefulness, independent reading and study. I will also expect my child to complete all homework daily and to make sure all books and completed homework are returned to school the following day.
- to allow my child to be photographed or videotaped for public relations and/or training purposes.
- to direct any grievances I may have through the proper channels according to the principles outlined in chapter eighteen of the gospel of Matthew as summarized below:
  - all persons are to deal with the situation at its source. This usually means initially speaking privately with the person in a constructive and supportive attempt to get clarification or resolution.
  - if, after honest attempts have been made and clarification or resolution has not been satisfactorily reached, then the person proceeds to the next level of authority. This generally means speaking with the Principal/Headmaster. If satisfaction is not realized by this point, then the person proceeds to the KPS School Board by bringing the matter to the board’s attention in writing.
* Kuyper Christian Prep School and its operations are not affiliated with or administered by South Bay Community Church of National City, CA. The above signed parent(s)/Guardian(s) “Releasor(s)”, in consideration of the Releasor(s)’ child(ren) being permitted upon the property of South Bay Community Church of National City, CA (“Releasee”), hereby release Releasee, its agents, employees, officers, directors, members, insurers, and successors and assigns from all claims and damages, present or future, known or unknown, including but not limited to personal illness, injury, or death, or damage to property, arising directly or indirectly out of the presence of the Releasor(s) or their child(ren) on or about Releasee’s property, and shall indemnify Releasee from all loss, claims, damages, suits, expenses, and attorney fees arising out of same.
Consent*
I have read the below contract and agree to abide by it while my child is enrolled as a student at Kuyper.*
Date of Signing and Submission: 04/26/2024

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Father's Information

Mother's Information

Guardian's Information

Questions for the Student's Father

Questions for the Student's Mother

Questions for the Student's Guardian

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Sibling's Name	Age	Present School	Applying to KPS (Yes/No)

School Name	Address	Grade(s)	Reason for Leaving