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Student Information

Student First Name *

Student Last Name *

Student Birthdate * +

Gender *

Male

Female

My child currently attends Foothill Christian School. * 🛈

Yes

Grade in Fall 2022 *

Has your child attended Transitional Kindergarten on the Baseline campus? *

Yes

REPORT CARD UPLOAD:
A copy of your child's most recent report card must be uploaded in order to proceed with the admission process. *

The Kindergarten summer progam is only available to students who have attended transitional kindergarten and have an acceptable report card.

If your child has not attended transitional kindergarten please contact our preschool for summer options, (626) 963-8216.

Street Address *

Address Line 2

City *

State *

Zip Code *

Parent/Guardian Information

Parent/Guardian 1 - Full Name *

Parent/Guardian 1 - Cell Phone *

Relation to Student *

Parent/Guardian 1 - Email *

Parent/Guardian 2 - Full Name

Parent/Guardian 2 - Cell Phone

Relation to Student

Parent/Guardian 2 - Email

Additional persons authorized to pick up student:

Pediatrician's Name *

Pediatrician's Phone *

Any physical/medical condition and/or allergy which FCS should be aware of?

Please include a copy of your custody arrangement, if applicable.

Indicate your child's t-shirt size: *

Additional T-Shirts | $15/Each
If you would like to order additional t-shirts indicate quantity.

What size(s) do you want the additional t-shirts?