New Family Enrollment Form - Destiny Christian School
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2021-2022 New Family Enrollment Form Mission Statement: To provide education in a safe, supportive environment that promotes self-discipline, motivation, and excellence in learning. To engage the parents, students, teachers, and church leaders in equipping students with foundations for lifelong learning and success.
For Office Use Only:
□ Registration Fees Paid □ Sent to Accounting Department
□ Entered in PowerSchool □ Acceptance Letter Sent
□
Education with a God-given
Entered in Full Class List
Purpose
□ Supply List Sent
37557 Hwy 2A, Red Deer County, AB, T4E 1S2 Phone: (403) 343-6510 ext 517 Fax: (403) 343-1963DCS NEW FAMILY ENROLLMENT 2021-2022
VISION
“Building Foundations for Success”
Destiny Christian School’s mandate is to:
Empower each student to discover and develop his/her uniqueness and calling.
Nurture each student in a foundational learning environment to obtain the skills needed to
make every student a contributing member of society, prepared to succeed and contribute
responsibly to a global community.
We Commit Ourselves:
To an on-going communication & work relationship with each Family
As a Teaching Staff to Biblically-integrate Alberta Education Curriculum for each student to
progress in academic & spiritual growth
To your Local Church family to communicate with and lend support in its spiritual influence in
your family
Jonathan Bolton
Principal of Destiny Christian School
M.Ed, B.Ed, B.A
Jonathan starting teaching grade 5 and music from grades 1 to 5 in 2014. His love for working with
kids and helping them succeed in every area of life is evident in his class. He believes that every child
can learn and it’s his mission, along with all the other staff, to see that happen. He and his wife Natalia
have two boys named Joshua and Nathan and a baby girl named Emma.
Tim Gill
Vice Principal of Destiny Christian School
B.PE, B.Ed
Tim joined the DCS staff in 1995 and has taught at DCS ever since. He teaches math, science, physical
education, and a variety of options for the Grades 6-9 classes. He also oversees the sports program
along with vice principal duties. All three of his children have attended Destiny and have benefited from
the Christ centered learning environment.
Glenn and Marj Mullen
Administrative and Spiritual Advisors and MLE Coordinator of Destiny
Christian School
B.Ed
Glenn & Marj Mullen received a ministry call while teaching in Moose Jaw Public in
1973. Since then, they have actively pursued the pastoral call serving in the
communities of Red Deer, Wetaskawin & Stettler. They give leadership to Destiny
Christian School. Their children have both graduated from Destiny. Joelle is a
Chartered Accountant and Nathan is a graduate from the Bachelor of Education program at Red Deer College and is now
on our teaching staff at Destiny. Alyssa, Janae, Audrey & Bryton have made them happy grandparents.
Education with a God-given Purpose
37557 Hwy 2A, Red Deer County, AB, T4E 1S2 Phone: (403) 343-6510 ext 517 Fax: (403) 343-1963DCS NEW FAMILY ENROLLMENT 2021-2022
Philosophy & Beliefs
At Destiny Christian School we believe that “all children are gifts of the Lord and His reward
(inheritance)”.1 Children attending Destiny will be mentored in developing a personal faith in God and
building a life relationship that will bring strength and direction to their personal lives through Biblical
principles.
Church - Destiny is a ministry of Home Church; therefore, students and families are encouraged to
connect and be a vital part of a local Christian community. We believe the Local Church Family is a vital
part of the team to parents in the development and growth of their children.
Parents have been mandated by God to nurture and support their child(ren),2 which affirms their
responsibility in education of their children.
School, though significant and foundational, is only part of a life-long learning process.
1
Ps 127:3 – Sons are a heritage from the Lord, children a reward from him.
2
Prov 22:6 – Train a child in the way he should go, and when he is old, he will not turn from it.
Notice of Non-Discriminatory Policy
Destiny Christian School accepts students of all races, color, national and ethnic origin, who
form part of the student body, to all rights, privileges, programs, and activities generally
accorded or made available to students at the school. It does not discriminate race, color,
national or ethnic origin in administration of its educational policies, admissions policies,
scholarship and loan programs, and athletic and other school-administered programs.
Education with a God-given Purpose
37557 Hwy 2A, Red Deer County, AB, T4E 1S2 Phone: (403) 343-6510 ext 517 Fax: (403) 343-1963DCS NEW FAMILY ENROLLMENT 2021-2022
Education with a God-given Purpose
37557 Hwy 2A, Red Deer County, AB, T4E 1S2 Phone: (403) 343-6510 ext 517 Fax: (403) 343-1963DCS NEW FAMILY ENROLLMENT 2021-2022
Beliefs We Live By
1. Parents have the primary responsibility for raising their children to find and fulfill their God-given destiny.
2. The staff, parents, and student family of Destiny, are part of a team dedicated to support children to
become lifelong learners who grow into their full potential and destiny, striving to be excellent learners,
with academic and personal excellence, aiming to fulfill our God given destiny.
3. The local church family, a vital part of the team, is to assist parents in the training and growth of their
children.
4. Children attending Destiny will be mentored in developing a personal faith in God and building a life
relationship that will bring strength and direction to their personal lives.
5. Children attending Destiny will be mentored in building meaningful life relationships using Biblical
principles.
Policies We Live By
1. Parents acknowledge and agree to abide with the beliefs of Destiny Christian School and the Statement of
Faith of Home Church.
2. Parents must be willing to be involved with our staff by giving input to create and implement strategies for
academic, relational, behavioral, personal, or spiritual issues as they arise. The principal and staff will
make final decisions considering these discussions.
3. Bullying will be dealt with as soon as a parent or student notifies school staff. DCS has a Student Code of
Conduct that addresses bullying. (For a copy of this please contact the school office).
4. Valid concerns should be immediately brought to the attention of a teacher.
5. The parent is asked to call and leave a message as soon as possible on the day/days their child will be
absent.
6. Classes begin at 8:45 AM and conclude at 3:20 PM. Students are expected to be punctual and in regular
attendance.
7. All students are required to have indoor shoes that are clean and non-marking, and outdoor footwear
suitable for weather.
8. Skateboards and wheelies are not permitted on school property.
9. Gymnasium rules are in place to protect flooring. Runners are required for the gym. No food allowed.
10. Grades 7-9 students are asked to give their hand-held electronic devices (phones, tablets etc) to the
teachers at the beginning of class. Devices are only to be used when teachers grant permission.
11. There are to be NO dating relationships on school grounds or at extended school events.
12. Journals / Agendas need to be daily read & signed by parents and teachers. Signatures indicate that
parents know about homework and have received office/school communication.
13. We are a community whose success depends on every family’s involvement. We are partially funded and
depend on families to help fill the gaps.
14. Dress Code: Cleanliness and Modesty – for more guidelines contact the school office.
15. Parents agree to attend the following four events: Parent Orientation, Parent/teacher conferences (two
per year) and the yearend awards night.
I, the undersigned, have read the school’s policies and agree with them.
___________________________________ __________________________
Parent Signature Date
Education with a God-given Purpose
37557 Hwy 2A, Red Deer County, AB, T4E 1S2 Phone: (403) 343-6510 ext 517 Fax: (403) 343-1963DCS NEW FAMILY ENROLLMENT 2021-2022
Admissions Policy
Destiny Christian School is a private Christian school that accepts registrations on a space basis. Our school is
rooted in and continues to operate within the bounds of evangelical Christianity. DCS does not exist to reform
attitudes or modify behaviour, but rather to provide an educational program (teachers, curriculum, and
activities) that brings glory to Jesus Christ. The educational philosophy of DCS is based on a Christ-centered
view of truth as presented in the Bible. A personal, dynamic relationship with Jesus is at the heart of our
mission and school culture. Parents and their children are expected to acknowledge and affirm their support
for the mission and biblical principles of the school.
Each year the school evaluates the students to confirm that the goals of the school and students are
compatible. Returning students and families may be declined readmission, at the discretion of the
administration. A condition for readmission is that financial obligations to DCS have been met.
All new students interested in enrolling at DCS must complete the Application for New Students.
Parent and student interviews are a key part of the admission process. They enable you to meet with school
administration, learn more about DCS and confirm that your student truly wishes to attend DCS and support
its mission and program. A commitment form supporting the school’s mission and philosophy must be signed
prior to acceptance. Registration Fees are due with the receipt of each application form and are non-
refundable. a payment plan for society fees are required upon acceptance.
APPLICATION AND ENROLLMENT PROCESS
New student applications will be considered through the year. Applicants are placed in a pool of potential
students and may be contacted for an interview as space becomes available. The following priorities are
considered in the enrollment process:
1st priority — returning students before the re-registration deadline.
2nd priority — potential students with siblings currently attending DCS and children of staff.
3rd priority — potential students of Home Church families.
4th priority — potential students outside of the above listed groups.
If two students are of equal priority for an available class placement, date of application will be an important
consideration. New families are encouraged to apply early.
Education with a God-given Purpose
37557 Hwy 2A, Red Deer County, AB, T4E 1S2 Phone: (403) 343-6510 ext 517 Fax: (403) 343-1963DCS NEW FAMILY ENROLLMENT 2021-2022
Section A – Family Information
Address City Province Postal Code Home Telephone
FATHER/GUARDIAN INFORMATION
Surname: First: Middle:
Email: Cell: Work:
MOTHER/GUARDIAN INFORMATION
Surname: First: Middle:
Email: Cell: Work:
Marital Status: Student(s) living with: Duplicate report cards required:
Note: Parent involvement is requested throughout the year in various volunteer aspects. We require all parent
volunteers to complete a volunteer application form, as well as submit a copy of a police record check, and child services
intervention check. More information can be obtained by contacting the school office.
Section B – Student Information
CHILD 1
Legal Name Surname: First: Middle:
Also Known As Surname: First: Middle:
Birth Date (MM-DD-YYYY): Grade: Gender:
Citizenship: Allergies/Medical Alert:
CHILD 2
Legal Name Surname: First: Middle:
Also Known As Surname: First: Middle:
Birth Date (MM-DD-YYYY): Grade: Gender:
Citizenship: Allergies/Medical Alert:
CHILD 3
Legal Name Surname: First: Middle:
Also Known As Surname: First: Middle:
Birth Date (MM-DD-YYYY): Grade: Gender:
Citizenship: Allergies/Medical Alert:
CHILD 4
Legal Name Surname: First: Middle:
Also Known As Surname: First: Middle:
Birth Date (MM-DD-YYYY): Grade: Gender:
Citizenship: Allergies/Medical Alert:
Note: Please be advised that Alberta Education requires us to have a copy of each student’s citizenship documentation on
file before your registration is complete. If you do not have your child’s birth certificate, you will be required to purchase
one.
Education with a God-given Purpose
37557 Hwy 2A, Red Deer County, AB, T4E 1S2 Phone: (403) 343-6510 ext 517 Fax: (403) 343-1963DCS NEW FAMILY ENROLLMENT 2021-2022
Christian Faith
Church Attending: Pastor: Phone:
No. of Years Attending: If less than 1 year, list previous church: Family attends church
Born again Christian? Father Mother
Received the Baptism of the Holy Spirit? Father Mother
Has the student made a profession of faith in Jesus according to Romans 10:9-10?
CHILD 1 - CHILD 2 - CHILD 3 - CHILD 4 -
At what age? At what age? At what age? At what age?
Emergency Contacts
In the event of an emergency, if a parent cannot be reached, contact the following person(s):
FIRST EMERGENCY CONTACT
Surname: First: Relationship to Student:
Home Phone: Cell: Work:
SECOND EMERGENCY CONTACT
Surname: First: Relationship to Student:
Home Phone: Cell: Work:
Medical Consent
In the event I, cannot be reached to make arrangements for emergency medical care at the time of the
incident, I hereby authorize Destiny Christian School to take my child to the nearest emergency or to call an
ambulance to provide first aid and transportation, in the event of a serious accident.
__________________________________ ______________________
Signature of Parent/Guardian Date
Busing
Please note bus routes are currently at capacity, however, we try to accommodate as many families as
possible within Red Deer city limits.
Bus Fees are as follows:
Kindergarten No Charge
st
1 child (grade 1-9) $70/month
Each Additional child $50/month
If you would like to apply for busing within city limits, please check the appropriate box below:
N/A Required Desired if Available
Education with a God-given Purpose
37557 Hwy 2A, Red Deer County, AB, T4E 1S2 Phone: (403) 343-6510 ext 517 Fax: (403) 343-1963DCS NEW FAMILY ENROLLMENT 2021-2022
Aboriginal Declaration
For each child, if you wish to declare that your student is aboriginal, please select one:
CHILD 1 -
Not Applicable First Nation (status) First Nations (non-status) Métis Inuit
CHILD 2 -
Not Applicable First Nation (status) First Nations (non-status) Métis Inuit
CHILD 3 -
Not Applicable First Nation (status) First Nations (non-status) Métis Inuit
CHILD 4 -
Not Applicable First Nation (status) First Nations (non-status) Métis Inuit
For further information, please refer to: https://education.alberta.ca/system-supports/results-reporting/ or
contact Alberta Education at 780-427-8501.
If you have questions regarding the collection of student information by the school board, please contact the
principal at (403) 343-6510 ext 517 or email to info@destinyschool.ca.
Pursuant to section 7 and 8 of the Personal Information Protection Act (PIPA) accredited private schools in Alberta are collecting this information for the
purposes of measuring system effectiveness over time and develop policies, programs and services to Aboriginal learner success. It will also be used to
determine the provincial First Nations, Métis and Inuit funding allocation available to the school and will be disclosed to Alberta Education accordingly. By
declaring that I am an aboriginal person, I consent to the collection, use and disclosure of this information by the private school for the purposes stated
above.
(PIPA requires signed consent [below] from the student or parent guardian)
Student or Parent/Guardian consent:
__________________________________ ______________________
Signature of Parent/Guardian Date
Education with a God-given Purpose
37557 Hwy 2A, Red Deer County, AB, T4E 1S2 Phone: (403) 343-6510 ext 517 Fax: (403) 343-1963DCS NEW FAMILY ENROLLMENT 2021-2022
Name of Current School(s) or Most Recent School(s)
CHILD 1 -
Please submit a copy of your student’s last report card.
For academic and character reference, submit the name of the Principal and one teacher of your child’s present school.
School Division: Address: Phone:
Principal Name: Teacher Name:
Date Left: Highest grade completed: Has the student failed any grade? What grade?
If yes, for any of the following questions, please describe in detail on an attached sheet.
*Physical or mental concerns? *Has the student had any formal or informal disciplinary problems?
*Has the student ever been refused admission or dismissed from another school?
CHILD 2 -
Please submit a copy of your student’s last report card.
For academic and character reference, submit the name of the Principal and one teacher of your child’s present school.
School Division: Address: Phone:
Principal Name: Teacher Name:
Date Left: Highest grade completed: Has the student failed any grade? What grade?
If yes, for any of the following questions, please describe in detail on an attached sheet.
*Physical or mental concerns? *Has the student had any formal or informal disciplinary problems?
*Has the student ever been refused admission or dismissed from another school?
CHILD 3 -
Please submit a copy of your student’s last report card.
For academic and character reference, submit the name of the Principal and one teacher of your child’s present school.
School Division: Address: Phone:
Principal Name: Teacher Name:
Date Left: Highest grade completed: Has the student failed any grade? What grade?
If yes, for any of the following questions, please describe in detail on an attached sheet.
*Physical or mental concerns? *Has the student had any formal or informal disciplinary problems?
*Has the student ever been refused admission or dismissed from another school?
CHILD 4 -
Please submit a copy of your student’s last report card.
For academic and character reference, submit the name of the Principal and one teacher of your child’s present school.
School Division: Address: Phone:
Principal Name: Teacher Name:
Date Left: Highest grade completed: Has the student failed any grade? What grade?
If yes, for any of the following questions, please describe in detail on an attached sheet.
*Physical or mental concerns? *Has the student had any formal or informal disciplinary problems?
*Has the student ever been refused admission or dismissed from another school?
Note: Our school is not presently equipped to cope with severe learning disabilities, either psychological or physical.
Destiny Christian School is also not equipped to deal with children who have discipline problems beyond those
encountered in the average student.
Education with a God-given Purpose
37557 Hwy 2A, Red Deer County, AB, T4E 1S2 Phone: (403) 343-6510 ext 517 Fax: (403) 343-1963DCS NEW FAMILY ENROLLMENT 2021-2022
Freedom of Information and Protection of Privacy Provision – Destiny Christian School
The Freedom of Information and Protection of Privacy Act, first introduced in Alberta in 1995, formally took effect with the education sector in September
1998. The Act addresses two main areas. First, it establishes policy and regulations relating to access of information held by a public body. Secondly, the
Act sets our policy and regulations relating to the collection, use, protection, and disclosure of personal information.
The information that is requested on the school registration form is specifically mandated under the authority of the Education Act and its regulations,
and pursuant to Section 32 of the F.O.I.P. Act which states that information may be collected if that information relates directly to and is necessary for an
operating program or activity of the public body.
Schools play an important role in the education and socialization of our children. In this process, personal information is often collected and used for
authorized programs and activities that are a normal part of a school life. The F.O.I.P. Act requires that parents/guardians be advised of the collection
and use of personal information that is not specifically itemized under the Education Act. This includes several activities that are part of a normal school
community interaction, such as:
the use of a student’s name, photo and comments in the school calendar, newsletter, yearbook or other publications
the taking of individual, class or team photos and the use of the student photos for identification purposes
the taking and developing of student photos for the purpose of helping to develop the skills required in the use of traditional photo developing,
as well
as the process skills required in the use of digital photography and photo scanning
the use of student names or art work or other material displayed in the school
videos in which the student appears, which are prepared for the use in the school
the taking of photos and/or videos of classroom or other school activities, and their use, by the media or other organizations where students
are not identifiable
the use of student names in a listing of an honor roll, birthday recognition, graduation scholarships, students’ achievement awards including the
announcement of the P.A. system, within the school
the use of student names, related contact information and phone numbers for class activities, including lunchroom programs
the taking of photos and/or videos of classroom activities by the school personnel or School Board, where the material will be used within the
school
the use of student names and academic information necessary for determining eligibility or suitability for provincial, federal, or other types of
awards or scholarships in the event that the Board applies on the student’s behalf
other similar activities within the school
NOTE: Please understand that photos and/or videos of school activities that are open to the public may be taken and used for purposes
outside of the school. The school may not be able to restrict such activity at public events.
Parent /Guardians will be contacted by the school for a separate written consent in the following instances:
Photographs or videos taken by the media or any other organization including the School Board where individual students are identified and
use will be made of the photograph or video outside of the school.
Students are interviewed by community organizations, School Board officials and/or the media for use outside of the school.
Release of student names outside of the school included in news articles, grad lists, honor lists.
Copyright for artwork or creative writing which will be reproduced for use outside the classroom.
Any student work which is signed and displayed outside of the school.
Classroom programs and field trips which are conducted beyond the boundaries of the City of Red Deer.
If you have any questions or concerns regarding the collection or use of information, please contact the Destiny Christian School office.
I have read the information listed above and understand the variety of the uses that may be made of personal
information in the context of the school setting. I have provided the required information on the Registration
Form to the best of my knowledge.
_________________________________ ____________________
Signature of Parent/Guardian Date
__________________________________
Printed Name of Parent/Guardian
Education with a God-given Purpose
37557 Hwy 2A, Red Deer County, AB, T4E 1S2 Phone: (403) 343-6510 ext 517 Fax: (403) 343-1963DCS NEW FAMILY ENROLLMENT 2021-2022
Section C – Financial Information
Financial Policy
To process your child/children’s registration for the upcoming 2021/2022 school year, we require:
Full payment of your registration fee of $50 per child.
A monthly payment-plan. Payment options are:
Auto debit on the first or fifteenth of each month (void check required)
10 Post-dated checks (dated September 1, 2021 to June 1, 2022)
Credit card number to be processed on the first of each month (3.5% service charge will apply).
Once all the above requirements have been met, your child’s placement for the coming year will be secured. Because of
the high enrollments for certain grades we cannot hold your child’s place if another family applies and you have not met
the registration requirements.
NSF POLICY
A $20.00 service charge will be charged for any returned checks.
ACCOUNTS IN ARREARS
Current account in arrears three months – the family will be asked to prepare a written payment report and plan to
be submitted to the school board for review. A meeting between the parent(s)/guardian(s) will be held with a board
member to determine the family’s registration status.
All marks and transcripts will be held until current account is paid in full or suitable arrangements are made with
school treasurer.
WITHDRAWAL
If your child withdraws from the school, tuition will be refunded for the number of months remaining in the school
year, not including the month of withdrawal.
REENROLLMENT
Students will only be reenrolled, and classroom space will be reserved if a family’s account is up-to-date or if
satisfactory payment arrangements have been made by the reenrollment due date.
Agreement
__________________________________ ________________________________
Parent/Guardian School Administration
__________________________________
Date
Education with a God-given Purpose
37557 Hwy 2A, Red Deer County, AB, T4E 1S2 Phone: (403) 343-6510 ext 517 Fax: (403) 343-1963DCS NEW FAMILY ENROLLMENT 2021-2022
Destiny Christian School Society 37557 Hwy 2A Red Deer County, AB T4E 1S2 Family: _________________________________________
403-343-6510 info@desinyschool.ca
Registration Fees: Payment Plan:
Preschool: I wish to pay by: (choose one)
______ x $50 / child = _______
$0
Enclosed Post-Dated Cheques
per year
Payable to Destiny Christian School, dated for the 1st of the month
Grades 1-9:
______ x $50 / child = _______
$0 Credit Card
per year
The undersigned hereby authorizes Destiny Christian School to draw monthly debit
Kindergarten Fees:
by paper or electronic entry in the amounts of: $_____________
0 plus a 3.5%
Registration & Activity Fees
service charge, on the 1st of each month beginning Sept. 2021 and ending June
______ x $150 /child = ________
$0
2022 or until all applicable fees are paid.
per year
Card #: ____________________________________ Expiry Date: ____/____ CSV: ______
TOTAL: $_____________
0 Name as it appears on card: ________________________________________
Due with submission of registration form
Monthly Society Fees: Signature: _____________________________________ Date: _____________
Includes textbook & building fees for grades 1-9
Preschool Fees: Bank Debit 1st of the month 15th of the month
______ x $80 / child = ________
$0 The auto debit withdrawals are from a Personal Account Business
per month
Grades 1-6 Fees: NOTE: If this is your initial request for bank debit, please enclose a
______ x $70 / child = ________
$0 specimen cheque marked VOID or a pre-authorization form
per month completed by your bank. For a joint account, all depositors must
Grades 7-9 Fees: sign if more than one signature is required on cheques issued
______ x $90 / child = ________
$0 against the account.
per month
The undersigned hereby authorizes Destiny Christian School to draw monthly
Transportation Fees:
debits by paper or electronic entry, in the amounts of: $_____________
0 on
(No charge for Kindergarten)
First Child: the 1st or 15th of each month beginning September 2021 and ending June
______ x $70 /child = ________
$0 2022 or until all applicable fees are paid. If new enrollment registration fees
Additional: are not paid by June 30th, they will be debited on July 1 st or 15th, as indicated
______ x $50 /child = ________
$0 on your agreement.
Total Transportation = $0
________ 1. All amounts payable to Destiny Christian School drawn or directed to you
per month by a chartered bank, on behalf of Destiny Christian School.
2. Your treatment of each debit shall be the same as if the undersigned has
0
TOTAL: $_____________ personally directed you to pay as indicated and to charge the amount specified
Due on the first of each month to that account of the undersigned.
Grades 6-9 Sports Fees: 3. This authorization may be cancelled at any time upon written notice or
All sports programs are optional. Listed below are email.
the maximum amounts that your family would be 4. Any delivery of this authorization to you constitutes delivery of the
charged if your student(s) participate. undersigned.
Cross Country – September 5. You have certain recourse rights if any debit does not comply with this
Up to $15/student/season agreement. For example, you have the right to receive reimbursement for any
Volleyball – September/October debit that is not authorized or is not consistent with this pre-authorized debit
Up to $100/student/season agreement. To obtain more information on your recourse rights, contact your
Basketball – December/January financial institution or visit www.cdnpay.ca.
Up to $180/student/season 6. If you have any concerns contact Destiny Christian School, 37557 Hwy 2A,
Badminton – May Red Deer County, AB, T4E 1S2 Ph: (403)343-6510 ext 517 Fax: (403)343-1963
Up to $100/student/season
Track & Field – May/June Signature: _____________________________________ Date: _____________
Up to $10/student/season
Education with a God-given Purpose
37557 Hwy 2A, Red Deer County, AB, T4E 1S2 Phone: (403) 343-6510 ext 517 Fax: (403) 343-19632021-2022 NEW ENROLLMENT
Section D – Parent Questionnaire
To be completed by parent/guardian.
In what ways do you expect that your son or daughter will benefit from an education at D.C.S?
Child 1 -
Child 2 -
Child 3 -
Child 4 -
In what ways do you expect that your son or daughter will contribute to the life of the school?
Child 1 -
Child 2 -
Child 3 -
Child 4 -
What special talents or skills does your child have? Please give examples.
Child 1 -
Child 2 -
Child 3 -
Child 4 -
Are there any influences at home, or at his/her present school, that may initially negatively influence your
son’s/daughter’s performance at D.C.S?
Child 1 -
Child 2 -
Child 3 -
Child 4 -
Are there any further comments regarding your son/daughter /amily information that you wish to make?
Do you or your family have any previous connection with D.C.S?
Parental Agreement
I have read the attached documents and agree to support the school regulations. I wish to apply for the admission of my
son/daughter.
__________________________________ ______________________
Signature of Parent/Guardian Date
Education with a God-given Purpose
37557 Hwy 2A, Red Deer County, AB, T4E 1S2 Phone: (403) 343-6510 ext 517 Fax: (403) 343-19632021-2022 NEW ENROLLMENT
Section E – Student Questionnaire
Students applying for Grades K – 4 should answer questions 1 – 8 (with parent’s help). Grades 5 – 9 should answer questions 1 – 9.
Child 1 -
1. What do you enjoy most about the Church activities you attend? (Sunday School, Youth, etc.)
2. What are your favorite books?
3. What are your favorite school subjects?
4. What sports do you enjoy most?
5. List any out-of-school lessons, special programs, or activities that you are involved in.
6. Who is you hero? Why?
7. What chores do you perform regularly at home?
8. What activities do you like to do during your spare time?
9. List your extra-curricular involvements at your present school.
Education with a God-given Purpose
37557 Hwy 2A, Red Deer County, AB, T4E 1S2 Phone: (403) 343-6510 ext 517 Fax: (403) 343-19632021-2022 NEW ENROLLMENT
Students applying for Grades K – 4 should answer questions 1 – 8 (with parent’s help). Grades 5 – 9 should answer questions 1 – 9.
Child 2 -
1. What do you enjoy most about the Church activities you attend? (Sunday School, Youth, etc.)
2. What are your favorite books?
3. What are your favorite school subjects?
4. What sports do you enjoy most?
5. List any out-of-school lessons, special programs, or activities that you are involved in.
6. Who is you hero? Why?
7. What chores do you perform regularly at home?
8. What activities do you like to do during your spare time?
9. List your extra-curricular involvements at your present school.
Education with a God-given Purpose
37557 Hwy 2A, Red Deer County, AB, T4E 1S2 Phone: (403) 343-6510 ext 517 Fax: (403) 343-19632021-2022 NEW ENROLLMENT
Students applying for Grades K – 4 should answer questions 1 – 8 (with parent’s help). Grades 5 – 9 should answer questions 1 – 9.
Child 3 -
1. What do you enjoy most about the Church activities you attend? (Sunday School, Youth, etc.)
2. What are your favorite books?
3. What are your favorite school subjects?
4. What sports do you enjoy most?
5. List any out-of-school lessons, special programs, or activities that you are involved in.
6. Who is you hero? Why?
7. What chores do you perform regularly at home?
8. What activities do you like to do during your spare time?
9. List your extra-curricular involvements at your present school.
Education with a God-given Purpose
37557 Hwy 2A, Red Deer County, AB, T4E 1S2 Phone: (403) 343-6510 ext 517 Fax: (403) 343-19632021-2022 NEW ENROLLMENT
Students applying for Grades K – 4 should answer questions 1 – 8 (with parent’s help). Grades 5 – 9 should answer questions 1 – 9.
Child 4 -
1. What do you enjoy most about the Church activities you attend? (Sunday School, Youth, etc.)
2. What are your favorite books?
3. What are your favorite school subjects?
4. What sports do you enjoy most?
5. List any out-of-school lessons, special programs, or activities that you are involved in.
6. Who is you hero? Why?
7. What chores do you perform regularly at home?
8. What activities do you like to do during your spare time?
9. List your extra-curricular involvements at your present school.
Education with a God-given Purpose
37557 Hwy 2A, Red Deer County, AB, T4E 1S2 Phone: (403) 343-6510 ext 517 Fax: (403) 343-19632021-2022 NEW ENROLLMENT
Student Field Trip / Excursions / Sports Events Blanket Authorization Form 2021-2022
Destiny Christian School arranges for students to participate in field trips, tours, off-campus activities, athletic and artistic
events, and other excursions (hereafter called ‘Events’) within central Alberta that provide educational, athletic, artistic
and experiential value. While every reasonable effort is made to minimize risk to students, the nature of these Events
incurs an inherent risk of property loss, injury, and even death. By signing this form, parents/guardians acknowledge
these inherent risks.
Types of Events may include but are not limited to activities that are:
close to the school.
in other schools (such as athletic practices, competitions and other non-athletic Events).
involving charitable organizations.
at various venues for school-sponsored Events.
at theatres, museums, outdoor parks and other educational venues.
Prior to each Event, the school will provide parents/guardians with written details of the following information. Once
informed of these details, parents/guardians have the right to withdraw their child’s participation from the Event.
• purpose of the event • supervisors
• mode of transportation* • service providers
• destination • associated risks
• dates and times • costs, if any
These Events will take place away from school property and your child will be supervised during the designated dates and
times. Carefully read the points below and ensure that you agree to them in full.
The Destiny Christian School Student Code of Conduct regarding student behavior will apply to all Events, and
students will comply with it, and with the directions of our staff and other adults who will act as supervisors and
service providers.
Event supervisors may secure medical advice, services, treatment and/or transportation to emergency medical
services as they deem necessary for a student’s immediate health and safety and the parents/guardians will be
financially responsible for all associated costs.
The parents/guardians of students with any medical condition that may affect the student’s participation in the Events
will advise the school of the medical condition and will ensure that all medication is provided to the school for the
Events.
*If approved Volunteer Drivers are used for transportation for an Event, the Board’s Liability Insurer provides coverage, subject to the exclusions and
limitations set out in the policy, for parents, volunteers, and staff who are drivers or owners of vehicles used to provide transportation for students in
compliance with Destiny Christian School’s procedures regarding such transportation. The said insurance is EXCESS only and does not replace the
driver’s/owner’s insurance as the primary insurance. The excess insurance will only be available after the driver’s/owner’s insurance is exhausted, and
only applies to payments in excess of two million dollars ($2,000,000.00). Owners must carry a minimum of two million dollars ($2,000,000.00) Public
Liability and Property Damage insurance to be fully protected, and for the vehicle owned by them to be approved as a vehicle for transporting students.
By signing below, I hereby acknowledge the risk of the participation of my children, in all Destiny Christian School Events
taking place in Central Alberta for the upcoming school year.
CHILD 1
Surname: First: Middle: Grade:
CHILD 2
Surname: First: Middle: Grade:
CHILD 3
Surname: First: Middle: Grade:
CHILD 4
Surname: First: Middle: Grade:
__________________________________ ______________________
Signature of Parent/Guardian Date
Education with a God-given Purpose
37557 Hwy 2A, Red Deer County, AB, T4E 1S2 Phone: (403) 343-6510 ext 517 Fax: (403) 343-19632021-2022 NEW ENROLLMENT
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Education with a God-given Purpose
37557 Hwy 2A, Red Deer County, AB, T4E 1S2 Phone: (403) 343-6510 ext 517 Fax: (403) 343-19632021-2022 NEW ENROLLMENT
Pastor’s Reference for Family Date _______________________________
PARENTS’ NAMES
STUDENTS’ NAMES
Church: Attends: Areas of Involvement:
To be completed by pastoral staff:
1. How long have you known the family? __________________________(years)
2. Is the family a member of your church? __________ Yes _________ No
3. In your view, do you sense that the family has a living relationship with the Lord Jesus Christ?
4. Please feel free to make any additional comments.
__________________________________ ________________________________
Pastor’s Name (Please Print) Pastor’s Signature
**If you do not have or are unable to have your family Pastor complete this reference page, please contact administration for alternate options of reference. **
Education with a God-given Purpose
37557 Hwy 2A, Red Deer County, AB, T4E 1S2 Phone: (403) 343-6510 ext 517 Fax: (403) 343-1963You can also read
