604-498-3233 | info@surreychristian.com | www.surreychristian.com

EARLY LEARNING REGISTRATION 2023-24

Today's date * +

STUDENT DETAILS

Start date *

Other start date * +

Dear Parents and Guardians:

Children are natural learners and creation enjoyers of God’s world. Our mission at the Surrey Christian School Early Learning centres is to offer safe, diverse, experiential learning opportunities to recognize the full potential and individuality of each child. We believe each child is created in the image of God and has an important and unique role to play in sharing His redeeming love with the world around them.

We want to thank you for partnering with us, for entrusting your child to us as they begin their educational journey and for allowing us to speak truth and love into your child’s life. Our promise to all our parents is to educate for wholeness by engaging God’s world in the servant way of Jesus. Our hope is that your child begins to unpack all the gifts that make them completely unique as they become fully alive in God’s story at Surrey Christian School.

We invite you to submit the registration as soon as possible as space is limited. You will receive a welcome letter to confirm your child's acceptance into the Surrey Christian School's early learning program.

Director of Early Learning Programs, Ingrid Fritsch
Principal Tom Williams, Fleetwood Campus | Principal Patti Thomas, Cloverdale Campus
Early Learning Managers: Genny Buchanan, Cloverdale Campus | Jean Chen, Clayton Campus

Child's legal first name *

Child's middle name *

Child's last name *

Name child responds to

Child's date of birth: * +

Gender *

I would like my child to attend the Early Learning program at the following campus. Please choose your first and second option. Please note that there is a wait list only at our Clayton Campus daycare facility.

Option 1: *

Please select which days you prefer (option 1) *

Option 2: *

Please select which days you prefer (option 2) *

SURREY CHRISTIAN EARLY LEARNING – CLAYTON AND CLOVERDALE CAMPUS FEES 2023/24
	2 DAYS	Parent portion	3 DAYS	Parent portion	5 DAYS	Parent portion
UNDER 3	$411	$84	$612	$121	$1,018	$200
3-5	$402	$184	$597	$270	$994	$449

SURREY CHRISTIAN EARLY LEARNING – FLEETWOOD CAMPUS FEES 2023/24
	2 DAYS	Parent portion	3 DAYS	Parent portion	5 DAYS	Parent portion
UNDER 3	$448	$88	$665	125	$1,108	$208
3-5	$428	$210	$637	$310	$1,060	$515

HOUSEHOLD INFORMATION

The child lives with *

Other

Language spoken at home *

Other

If a court order has been made concerning the care/custody this will be uploaded by the parent.

PRIMARY PARENT/GUARDIAN INFORMATION

Primary parent/guardian first name *

Primary parent/guardian last name *

Relationship to the child *

Other relative relationship *

Primary parent/guardian email address *

Primary parent/guardian phone number *

Primary parent/guardian work phone number *

Primary parent/guardian employer

Primary parent/guardian occupation

Add a secondary parent/guardian

SECONDARY PARENT/GUARDIAN INFORMATION

Secondary parent/guardian first name *

Secondary parent/guardian last name *

Relationship to the child *

Other relative relationship

Secondary parent/guardian email address *

Secondary parent/guardian phone number *

Secondary parent/guardian work phone number *

Secondary parent/guardian employer

Secondary parent/guardian occupation

Is one or both parents an alumni of Surrey Christian School or Fraser Valley Christian High School? *

Family street address *

Unit/Apartment number

City *

Province *

Postal code *

AUTHORIZED PICKUP

Please enter the names of people other than the primary and secondary parent/guardian who are authorized to pick up your child. Please note that photo ID may be required.

First name

Last name

Phone number

Relationship to child

Add another authorized pickup

First name

Last name

Phone number

Relationship to child

Add another authorized pickup

First name

Last name

Phone number

Relationship to child

Add another authorized pickup

First name

Last name

Phone number

Relationship to child

NAMES OF OTHERS LIVING IN SAME HOUSEHOLD

First name

Last name

Relationship to child

Age

Gender

Add another individual

First name

Last name

Relationship to child

Age

Gender

Add another individual

First name

Last name

Relationship to child

Age

Gender

Add another individual

First name

Last name

Relationship to child

Age

Gender

Add another individual

First name

Last name

Relationship to child

Age

Gender

Will you have other children attending Surrey Christian School in grades K-12 while your child is attending our Early Learning program? *

How did you hear about our school? *

Is there someone we can thank for referring you to our early learning program? If so please provide a name and phone number.

HEALTH

BC Personal Health Number *

Name of family doctor or walk in clinic *

Phone number of family doctor or walk in clinic *

Does your child have any allergies? If yes, please provide details. *

Allergy details *

0/300 characters

Is your child currently taking any medication on a regular basis? If yes, please provide details. *

Medication details *

0/300 characters

EMERGENCY CONTACTS

Please enter at least 1 and up to 3 names of people who have authorization to pick up your child, or whom we can contact in the event of an emergency and we cannot reach a parent.

EMERGENCY CONTACT 1

First name *

Last name *

Relationship to child *

Phone number *

Comments

Add another individual

EMERGENCY CONTACT 2

First name *

Last name *

Relationship to child *

Phone number *

Comments

Add another individual

EMERGENCY CONTACT 3

First name *

Last name *

Relationship to child *

Phone number *

Comments

ADDITIONAL INFORMATION

If your family attends a church, please provide the full name of the church that you attend.

What are your child's interests? *

Has your child previously attended daycare/preschool? If yes, please provide some details. *

Daycare/preschool details *

0/300 characters

Can your child dress and toilet him/herself? *

Comments

Is there anything else you want us to know about your child? (health concerns, speech, hearing or vision problems etc.) If yes, please provide details. *

Please provide details of any concerns *

Are there any special family circumstances the school should know about? *

Please provide details of any special family circumstances *

CONSENTS

FIELD TRIP CONSENT

Acknowledgement of Risk

Students occasionally go on a walk through the neighborhood. I have read the school's Acknowledgement of Risk form (link above) and consent to having my child go on supervised walks during the school year. *

Yes

No

PHOTOGRAPH PUBLISHING CONSENT

I consent to have the student’s picture published in the school newsletter, on SCS social media, on our website or other school related publications/marketing. The school only publishes first names of students. *

Yes

No

EMERGENCY MEDICAL TREATMENT CONSENT

In case of an emergency where parents cannot be contacted I authorize the principal or school representative to contact the family doctor or take the necessary steps to ensure the health and safety of my child. *

Yes

No

HANDBOOK

Please read through the Early Learning Parent Handbook. Click on the link below and scroll to the bottom of the page to download.

Early Learning Parent Handbook

I have read and understand the Early Learning Parent Handbook. *

Yes

PROTECTING YOUR PERSONAL INFORMATION

Surrey Christian School collects and uses personal information for the sole purpose of maintaining accurate student records in the administrative offices, and to respond immediately to an emergency. SCS commits to using and storing this information responsibly and will not release this information to a third party without your verbal or written consent unless permitted under the PIPA (Personal Information Privacy Act) legislation. Please note that your personal data stored in our online student information system, MySchool Management, is housed in the European Union, not in Canada. If you have questions about SCS’s use, storage or disclosure of personal information, please contact our privacy officer.

I consent to having SCS collect, use and disclose this personal information as outlined above. *

Yes

FINANCIAL COMMITMENT

If you are a new family to Surrey Christian School please submit a $40 registration fee. This is applicable to new families only and does not apply for current families who have a sibling registering for preschool.

New family, $40 registration fee applies

Sibling, no registration fee required

Using the drop down menu choose your first desired class with applicable monthly fee. All prices reflect the government fee reduction initiative program. *

Fee payment *

I will pay the annual fees in full on September 1st

I will pay the fees monthly on the first of the month by pre-authorized payments. (Please click on the link below to complete the pre-authorized debit form if the school does not have one on file.)

Link to Pre-authorized Debit Form

Upon acceptance the following is due:

$50 field trip fee
First month's payment

These fees will be withdrawn from your bank account directly. Please be sure to complete the pre-authorized debit form (link above).

Changes to registration for the 2023/2024 school year can be made up until July 31, 2023. Any changes to a child’s registration thereafter (i.e. number of days/hours attending) will be subject to a $75 change fee. 1 month’s notice is required for the change to be processed. *

Yes

Who will be paying the fees? *

Parent

Government subsidy (note there is always a parent portion that is required to be paid)

Other individual (please specify full name, phone number and email address) Other individual (please specify full name, phone number and email address)

I acknowledge my financial obligation to the school. If during the course of the school year I intend to withdraw my child I understand that I must give 1 month’s notice to the school at month-end, or pay 1 month of tuition in lieu of notice. *

Yes