APPLICATION FOR ADMISSION APPLICANT’S NAME: _____________________ GRADE ENTERING:________
The mission of Pine Castle Christian Academy is to prepare the next generation, one student at a time, to impact the world for Christ. 7101 Lake Ellenor Drive Orlando, FL 32809 407.313.PCCA (7222) Fax: 407.313.7226 www.PCCAeagles.org Pine Castle Christian Academy admits students without regard to race, color, sex, national or ethnic origin.
Application Instructions 7101 Lake Ellenor Dr. · Orlando · FL · 32809 407.313.7222 · Fax 407.313.7226 · www.pccaeagles.org Application Form and Fee The Application Form must be completed and sent to the Admissions Office with the non-refundable $100.00 application fee. Birth Certificate Required for all entering students School Documents Grades K3 - 12 The following must be received before the application process can continue: report cards and standardized tests from the last two years (minimum when applicable) and health data. Grades 10 - 12 In addition to the above material, a transcript must be received before the application process can continue. Teacher Recommendations Students applying for: Grades K3 - 5 The Principal/Guidance Counselor Recommendation must be completed. The applicant’s current elementary or pre-school teacher must complete the Elementary Teacher’s Recommendation. For a PreK or Kindergarten candidate who has not been in a school setting, the form should be completed by the parent or child-care provider. Grades 6 - 12 The Principal/Guidance Counselor Recommendation must be completed. The applicant’s current math teacher must complete the Math Recommendation. The applicant’s current English teacher must complete the English Recommendation. New Student Interview Sheet This form must be completed and submitted by students entering grades 6 - 12. Student Medical Release/Emergency Contacts Form This form must be completed, notarized and submitted. Foundational Beliefs Agreement The covenant response form in the application should be signed after reading the Foundational Beliefs of Pine Castle Christian Academy. Financial Policy Form This form must be signed and completed.
Admissions Screening The applicant must take an appropriate grade level test/ assessment. This will be scheduled after all required paperwork has been submitted. For applications received during the school year, a visitation/observation time will also be scheduled . Parent/Guardian Interview Pine Castle Christian Academy requires that the parent(s)/ guardian(s) of the applicant meet with the Administration. This meeting will be scheduled after all required paperwork and admissions screening is completed. Upon completion of the application process, the student will receive their admissions decision. If the student is accepted for entrance into Pine Castle Christian Academy, a registration fee of $325.00 must be submitted within 10 business days to reserve a position in the class. Other required fees must be paid by June 1 or July 1 depending upon payment plan.
Application Checklist Use this checklist to ensure that the applicant’s file is complete. Candidates cannot be evaluated until all requirements have been met.
Application Form and $100 Nonrefundable Fee Copy of Birth Certificate Student Record Release Form (1st-12th) Teacher Recommendation(s) turned in to current teacher(s) Principal/Counselor Evaluation turned in to current Principal, Counselor or school director. Student Medical Authorization (notary available at PCCA with appointment) Financial Policy Form New Student Interview Sheet (6th-12th) Copy of report card, transcript, testing, IEP, etc.
School Year: _______________
New Student Internaonal Student Satellite Student Returning Student (only ﬁll in child’s name & grade and proceed to parent info) Child’s Legal Name: _______________________________________________________________ Grade to Enter: ________ Last
Name Goes By: ____________________ Child’s Social Security: _________________________Gender:
Birth date: ________________ Home Address: ______________________________________________________________ mm/dd/yy
Street, Apt. No.
Home Phone:____________________________ Mailing Address (if different): _____________________________________ Student Cell Phone: ___________________________________ Student’s E-Mail Address: ____________________________ Ethnic Background (Optional)
African American Asian Native American/American Indian
Middle Eastern Other: _______________
Please list names and grades of siblings enrolled at PCCA: ______________________________________________________ We publish a Parent/Student Directory and make it available to families enrolled in our school. May we publish your phone number? _____ Yes _____ No Do you give permission for your child’s photograph to be displayed in Pine Castle Christian Academy advertising publications such as brochures, flyers, pamphlets, website, etc.? _____ Yes _____ No
CUSTODIAL PARENT INFORMATION (Where student resides) For siblings, complete Parent Informaon Box for oldest child and check box for younger sibling(s) Parent Name: __________________________________________ Relationship to Student: ____________________________ Employer: _______________________________ Occupation: _____________________ Work Phone: _________________ Cell Phone: _____________________ Email Address: [email protected]
______________________ Parent Name: ___________________________________________ Relationship to Student: ___________________________ Employer: _______________________________ Occupation: _____________________ Work Phone: _________________ Cell Phone: _____________________ Email Address: [email protected]
NON-CUSTODIAL PARENT INFORMATION Parent Name: ___________________________________________ Relationship to Student: ____________________________ Home Address: ___________________________________________________ Home Phone: __________________________ Mailing Address (if different): ________________________________________ E-Mail: ______________________________ Employer: _______________________________ Occupation: _____________________ Work Phone: __________________ Cell Phone: _____________________ Email Address: [email protected]
______________________ Parent Name: ___________________________________________ Relationship to Student: ____________________________ Employer: _______________________________ Occupation: _____________________ Work Phone: __________________ Cell Phone: _____________________ Email Address: [email protected]
______________________ If either parent (or step-parent) is forbidden by court order from having access to the child or school records, please give that parent’s name: ________________________________ Written documentation of court orders must be submitted to the school.
COVENANT RESPONSE FORM - FOR THE PARENTS & STUDENT We are in support of the educational philosophy, objectives, and standards of conduct of Pine Castle Christian Academy as explained in the Foundational Beliefs document. We will cooperate with the teachers in a spirit of partnership in the training of our child. If at any time during the training of our child, we can no longer work together in a spirit of unity, and all reasonable avenues of communication are exhausted, we will withdraw our child from Pine Castle Christian Academy. We understand that the failure of our child to uphold the principles and guidelines of the Parent Student Handbook may result in dismissal from Pine Castle Christian Academy. _______________________________________ Signature of Father (or Legal Guardian)
______________________________________ Name Printed
_______________________________________ Signature of Mother (or Legal Guardian)
______________________________________ Name Printed
_______________________________________ Signature of Student (grades 2 and higher)
______________________________________ Name Printed
PARENTAL COMMITMENT TO PINE CASTLE CHRISTIAN ACADEMY In signing this application, we acknowledge our commitment to the following: 1. 2. 3. 4. 5. 6. 7.
To accept teacher and administrative authority. To support the Affirmation of Faith of Pine Castle Christian Academy and the Statement of Cooperation. To be willing to give beyond our tuition as God leads and enables. To attend Parent Meetings and lend our support to the program at Pine Castle Christian Academy. To volunteer time and assistance when requested, as able. To follow God’s line of authority. When differences of opinion exist, we will go first to the person with whom we have the problem. If not resolved, we will go with the individual to his/her supervisor. (Matthew 18:15-17) To pay tuition when due or make financial arrangements through the finance office.
Withdrawals: From the time of enrollment/re-enrollment, if a student’s enrollment is terminated or we voluntarily withdraw or request withdrawal from the school, we are responsible to pay the withdrawal fee of $750 per student as liquidated damages in addition to full regular tuition payment through the month of withdrawal of the student, the remaining balance is due on the bundle fee and any outstanding balance due ie. lunch, library, extended day, detention, etc. Enrollment fees and general fees are nonrefundable. For international students (attending PCCA on an I-20) tuition is non-refundable. If tuition account is past due, any fees for field trips, class trips, etc., regardless of payer’s intent, may be transferred to the tuition account to satisfy any past due amount. Past due accounts may be turned over to a collection agency; we are responsible for all collection fees. Transcripts, final grades, credits, diplomas, etc., will be held until accounts are paid in full. Report cards will be held at the end of each grading period for those whose financial accounts are not current. For new students, we understand our child will be under a one (1) semester probation period. Our child may participate in all school-sponsored activities and field trips. (List exceptions, if any) _______________________ _______________________________________________________________________________________________________
________________________________ Father or Legal Guardian
________________________________ Mother or Legal Guardian
STUDENT INFORMATION The following questions will give us some important information about your child. If additional space is needed to explain your answer, please feel free to attach a separate sheet. 1.
Please explain why you would like your child to attend Pine Castle Christian Academy_______________________________ ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ 2. Have you previously applied to have your child admitted to Pine Castle Christian Academy? _____ Yes _____ No 3. Has your child previously attended Pine Castle Christian Academy? _____ Yes _____ No 4. What school did your child last attend? ___________________________________________________________________ Address: ________________________________________________________________ Phone: ____________________ Other schools attended (chronological) ____________________________________________________________________ ___________________________________________________________________________________________________ 5. Have other children in your family previously attended Pine Castle Christian Academy? _____ Yes _____ No If so, and they are not currently enrolled, what year did they graduate ?________________________or withdraw?__________________ 6. What has been the overall level of your child’s work in the past? (A, B, Etc.) _____________________________________ 7. Please list below your child’s extracurricular interests, abilities (including musical instruments) and achievements: ___________________________________________________________________________________________________ ___________________________________________________________________________________________________ ___________________________________________________________________________________________________ 8. Is your child on an IEP? _____ Yes _____ No If yes, please include a copy. 9. Does your child have a Learning Disability? _____ Yes _____ No If yes, please include a copy of all testing that has been done. 10. Has your child ever utilized the services of a counselor in private practice, psychiatrist, or clinical psychologist? _____ Yes _____ No 11. Has your child ever failed a grade in any school ?_____ Yes _____ No If yes, please explain ___________________________________________________________________________________ ____________________________________________________________________________________________________ 12. Has your child ever been dismissed from or been refused admission to another school? _____ Yes _____ No If yes, please explain __________________________________________________________________________________ ___________________________________________________________________________________________________ 13. Has your child ever had discipline problems? _____ Yes _____ No 14. Has your child ever been involved in disciplinary action beyond a classroom teacher’s involvement (sent to the principal, discipline committee, etc)?______________________________________________________________________________ 15. Has your child ever had problems with attendance (tardiness)? _____ Yes _____ No 16. Has your child ever used alcohol, illegal drugs, or tobacco products? _____ Yes _____ No 17. Is your child presently involved in using alcohol, illegal drugs, or tobacco products? _____ Yes _____ No 18. Has your child had any encounters with law enforcement, juvenile, or legal agencies? _____ Yes _____ No If yes, please explain __________________________________________________________________________________ __________________________________________________________________________________________________ 19. Do you currently have any outstanding balance at other private/Christian schools? _____ Yes _____ No If so, please explain the circumstances: __________________________________________________________________ ____________________________________________________________________________________________________ 20. Do you desire that your child be trained in the principles of the Word of God? _____ Yes _____ No 21. Please write below any further information which you feel may assist us in the guidance of your child at PCCA: ___________________________________________________________________________________________________ ___________________________________________________________________________________________________ ___________________________________________________________________________________________________ ___________________________________________________________________________________________________
CHURCH INFORMATION 1. 2.
Do you profess faith in Jesus Christ for eternal salvation? (Mother) _____ Yes _____ No (Father) _____ Yes _____ No
(Child) _____ Yes _____ No
Church your family currently attends (name & address): ______________________________________________________ Denomination: _______________ Pastor: _________________ Do both parents attend this church? _____ Yes _____ No
Are you members of the church you currently attend ? _____ Yes _____ No
Does applicant attend Sunday school? _____ Yes _____ No
Please explain your current involvement in church activities (choir, Sunday School teacher, etc.) ______________________ ____________________________________________________________________________________________________ ____________________________________________________________________________________________________
MISCELLANEOUS INFORMATION GRANDPARENTS: (This information will allow us to send your child’s grandparents newsletters and invitations to special events throughout the year. For elementary applicants only). Name:______________________________________Address_____________________________________________________ Email Address_____________________________________________________ Name:______________________________________Address_____________________________________________________ Email Address_____________________________________________________ Name:______________________________________Address_____________________________________________________ Email Address_____________________________________________________ Name:______________________________________Address_____________________________________________________ Email Address_____________________________________________________
REFERRAL: How were you referred to Pine Castle Christian Academy? (Newspaper, church, friend, family enrolled in PCCA, web, etc.) ___________________________ If referred by a family currently enrolled in our school, please list their name and phone below. Name: ___________________________________________________________ Phone: _______________________________
COMMITMENT FROM THE ADMINISTRATOR The faculty and staff of Pine Castle Christian Academy pledges by God’s grace to uphold the principles of the Pine Castle Christian Academy Covenant and guidelines as we together train your children.
Wendell K. Murray, Ed.D. Headmaster
Financial Policy 7101 Lake Ellenor Dr. · Orlando · FL · 32809 407.313.7222 · Fax 407.313.7226 · www.pccaeagles.org
Application: New Student
Registration Fee The registration fee is due upon enrollment and is NON-REFUNDABLE. School Tuition & Bundle Fee Payment Options for Full-time Students Tuition is computed on an annual basis and is pro-rated by month for a student enrolling after the school year has begun. The following are the methods of payment that you may choose. Please place a check next to the payment plan you desire. International Student: All students attending PCCA on an I-20. Full payment of yearly tuition & fees, including host fee, is due upon acceptance. No discounts apply. No refunds given. Annual Plan: A 3% prepay discount will be given if the full tuition & fees due is paid in full by April 30, 2012. The reduction is forfeited if a student withdraws. This plan may not be paid by credit card. Does not apply to tuition with any scholarship. 12 Month Plan: June through May (Return SMART Form). Annual billing fee paid with 1st payment. 11 Month Plan: July through May (Return SMART Form). Annual billing fee paid with 1st payment. 10 Month Plan: July through April (Return SMART Form). Annual billing fee paid with 1st payment. Quarterly Plan: June, Sept., Dec & March (Return SMART Form). Annual billing fee paid with 1st payment. Optional Tax Deductible Donation: If selected, the amount will be added to payment option. 3% of total tuition amount 6% of total tuition amount Withdrawals/Refunds All fees are non-refundable. Because early termination/withdrawal of students will result in damages which are difficult to adequately assess, a $750 fee per student as liquidated damages is agreed between the school and parent/guardian to be paid in the event of early withdrawal; in addition to full regular tuition payment through the month of withdrawal of the student, the remaining balance is due on the bundle fee and any outstanding balance due ie. lunch, library, extended day, detention, etc. Action on Late Accounts Tuition payments received 5 days after the due date will be charged a late fee of $30 per family. If a family is two monthly payments delinquent and satisfactory arrangements have not been made within five days after the end of the second month, the student will NOT be allowed to attend class. All school accounts must be current to view your child's Sycamore account. * If a tuition account is past due, any fees for field trips, class trips, etc., regardless of payer’s intent, may be transferred to the tuition account to satisfy any past due amounts. Action on Returned Checks A fee of $25.00 will be collected for any checks returned to PCCA by the bank ___________________________________________
Parent/Guardian(PLEASE PRINT) ___________________________________________
Name(s) of Children Attending PCCA _________________________________________
7101 Lake Ellenor Dr. Orlando · FL · 32809 407.313.7222 · Fax 407.313.7226 www.pccaeagles.org
Program Hours Pre-Kindergarten _____________________8:00am-2:45pm Grade K-2 ____________________________8:00am-3:15pm Grade 3-5 ____________________________8:00am-3:30pm Grade 6-Grade 12 ______________________7:37am-3:00pm
2012 2012--2013 Tuition and Fees
Other Charges Late Pickup Charge _____________ $10.00 per quarter hour Late Fee Payment ____________________ $30.00 Returned Check Fee __________________ $25.00 per check
Pine Castle Christian Academy strives to make education Tuition Payments affordable. Below you will find information on tuition, fees Monthly tuition payments are handled through Smarttuition. There is an annual $40 family billing fee added to the first and payment plans. payment. Monthly Payment due dates may be chosen from 2012-2013 Tuition the options available on the Smarttuition enrollment form. Pre-Kindergarten ______________________$ 6243 Grade K-5 ____________________________$ 8322 Annual Payment Plan Grade 6-8 ____________________________$ 9280 There is a 3% discount on non-scholarship tuition for students Grade 9-12 ___________________________$ 9448 who pay annually by April 30, 2012. The reduction is forfeited if a student transfers before the end of the school Required Fees year. Payment must be made with cashier’s check or cash. New Student Application Fee___________________ $ 100 Credit cards are not accepted for the Annual Payment. New International Student Application Fee ________ $150 Discount applies to tuition only. Registration Fee New Students (max $500 per family)_______ $ 325 Returning Students______________________ $ 100 Bundle Fee PK ______________________________ $ 185 Bundle Fee K-5 _____________________________ $ 285 Bundle Fee 6-8 _____________________________ $ 410 Bundle Fee 9-12 _____________________________ $ 550 Special Fees (charged as applicable) Senior Fee (for all 12th graders) ________________ $ 225 International Student Fee ______________________ $ 400 Host Family Fee _____________________________ $ 7500 Learning Strategies___________________________ $ 2130 Discovery __________________________________ $ 4532 1/2 hour private tutoring (after school)____________ $ 25 PT/OT Therapy 1/2 hour session ________________ $ 46
12 Month Plan Tuition & bundle may be paid in 12 monthly installments. The first payment is due in June. 12 Monthly Payments (PreK)____________ $ 535.67/month (K-5) _____________$ 717.25/month (6-8)______________$ 807.50/month (9-11)_____________$ 833.17/month (12) ______________ $ 851.92/month 11 Month Plan Tuition & bundle may be paid in 11 monthly installments. The first payment is due in July.
Credit card payments cannot be accepted for new student 11 Monthly Payments (PreK)___________ $ 584.36/month (K-5) ____________ $ 782.45/month application, testing and registration fees. (6-8)_____________ $ 880.91/month Additional Fees (9-11)____________ $ 908.91/month Before/After School Registration Fee____________ $10 (12)______________ $ 929.36/month Daily Fee _____________________________ $20.00/day Weekly Fee ___________________________ $65.00 /week 10 Month Plan Summer Daily rates charged separately. See program details Tuition & bundle may be paid in 10 monthly installments. The first payment is due in July. as available. Additional Fees—Some optional classes may require 10 Monthly Payments (PreK)____________ $ 642.80/month additional fees (such as band, etc.) Other optional extra(K-5) _____________$ 860.70/month curricular activities, clubs, sports may also have additional (6-8)______________$ 969.00/month fees. Optional class trips (such as 8th grade DC trip and a (9-11)_____________$ 999.80/month senior trip) are an extra cost. (12)______________ $ 1022.30/month Discounts There is a $900 ministry discount per child for families whose primary source of income is from the ministry field.
Medical Authorization All Grades
7101 Lake Ellenor Dr. · Orlando · FL · 32809 407.313.7222 · Fax 407.313.7226 · www.pccaeagles.org
Student Emergency Medical Form (For all applicants) This form will accompany your child on all field trips and is used in case of emergencies. It is important to fill in all required fields, or put N/A if not applicable. **Please note that side two must be notarized . Student's Name Applying for Grade
Date of Birth
Social Security Number (required) Mother's Name
Preferred Hospital (responding medical team will make final determination as to the appropriate facility) In the event that you are unable to be reached, whom may we contact on your behalf to pick up your child from school or treat him or her medically? Name Relationship Cell #
Family insurance provider under which the student is covered Policy Holder Policy Number
Indicate any allergies Food Medications Medical conditions and/or history about your child (surgery, chronic conditions, etc.)
Routine Medications If your child has a chronic medical condition or a condition that might lead to a potential emergency, please provide more detail in an attached letter.
Pine Castle Christian Academy Parent Permission Authorization Form (Must be notarized.) I. School Health Service Consent I hereby give my consent for this child to participate in the School Health Services Program. This means my child will receive emergency care in school if needed and health appraisals at school, including screenings such as vision, hearing, and growth and development. In case of accident or illness, when treatment is not needed but when my child is unable to remain at school, I request the school to contact me. If I am unable to be reached, one of the persons listed on the reverse may be contacted to care for my child until I can be reached. In the event of a serious accident or illness, I request the school to contact me at the phone numbers listed. If the school is unable to reach me, I hereby authorize the school to contact the physician or dentist indicated and to follow his/her instructions. If it is impossible to contact the physician or dentist, the school may make whatever arrangements necessary to provide emergency care and treatment for my child. In the event of a life-threatening accident or illness, I understand that the school may contact the 911 emergency medical system immediately. I agree to be financially responsible for this child's care and treatment.
In the event of any emergency, we will access the 911 emergency system. II. Permission to Transport Statement I do hereby state that I am the parent or guardian of the child named on this form. In order to expedite care of this child, I hereby give my permission for the responding emergency team to immediately initiate treatment and transport this child to the preferred or appropriate medical facility, according to what they deem is indicated by the nature or extent of the injuries. I agree to be financially responsible for this child's treatment and transport. I will notify the school of any changes in this information in writing.
III. Permission to Treat Statement I do hereby state that I am the parent or guardian of the child named on this form. In order to expedite care of this child, I give my permission for the appropriate medical staff to initiate treatment immediately upon arrival to the appropriate facility. I agree to be financially responsible for this child's treatment. I also request that I be notified of my child's condition and admission as soon as possible. If I am unable to be reached, I request that the admitting facility notify one of the persons listed on the reverse of my child's condition and admission.
Student's Full Name __________________________________________ Grade Entering______________ Parent's Signature
Parent's Name (print)
Sworn to and subscribed before me this _________ day of _________________________, Year ______________ Notary Public/State of Florida__________________________________________________________________
FOUNDATIONAL BELIEFS A reference document for families, faculty & staff
7101 Lake Ellenor Drive Orlando, Florida 32809 Telephone: 407.313.PCCA (7222) Fax: 407.313.7226 Website: www.pccaeagles.org
FAMILY - SCHOOL COVENANT According to the Bible, parents are responsible for the training of their children. Pine Castle Christian Academy serves as partners with parents in providing an excellent education consistent with biblical truth. Harmony between home and school provides the best environment for godly training to take place (Deut. 6:1-7; Prov. 22:6; Eph. 6:1-4). We seek to nurture development of the following essential character traits in the lives of our students: Eternal Values Our focus should be upward The key to live each day with the realization that only what is done for eternity counts (James 4:14; Matt. 6:33, Matt. 6:19-21). Godly Living A lifestyle that exhibits the fruit of the Spirit and flees from the acts of our sinful nature Our standards are found in God’s Word and our desire must be one with God and His holiness (Gal. 5:16-26; 2 Tim. 2:22; 1 Peter 1:13-16, 2:9-10; 1 Cor. 6:12-20; Phil. 4:8; Rom. 8:6-8). Integrity Maintaining a lifestyle that is above reproach A Christian should be honest, moral, and trustworthy in all dealings (Titus 1:7-9; Job 27:5, Prov. 11:3, 20:11; I Kings 9:4; Ps. 15). Obedience The outworking of the attitude of respect We are to obey God and all those He has placed over us in our lives. When we obey, we show our love and respect for God and the authorities He has ordained. Our lives then will be long and grateful as He has promised (John 14:21; Eph. 6:1-4; Rom. 13:1-7; Prov. 6:23). Respect An attitude that highly esteems those in properly placed authority God has placed parents, teachers, employers, governmental authority and church leaders in our lives. God gave us a biblical command to honor them for our own good (Rom. 13:1-7; Heb. 13:7; 1 Peter 2:13-21; 1 Thess. 5:12-13). Responsibility Being dependable and accountable in all relationships and tasks We are accountable to each other to love, encourage, confront, comfort and forgive. Furthermore, initiative, intellectual integrity, and excellence should be the marks of all tasks we attempt (1 Cor. 13; Matt. 18:15-17; Gal. 6:1-5; Eph. 5:29-32; Eccl. 9:10). Self-Discipline The ability to control one’s thoughts and actions The goal is to have a life under control, self-disciplined by the Spirit of God (Gal. 5:22-26; Job 5:17; Prov. 16:32,25:28; 1 Tim. 4:7, 8). Service
A spirit of humility in focusing on the needs of others Christ is our example in living a life that is not self-centered but rather seeking ways to serve not rule (Eph. 5:21; Phil. 2:3-11; James 4:6, 10).
Thankfulness Developing an attitude of gratefulness We are to be thankful for everything God brings into our lives. Knowing that God’s intentions for our lives are intended for “good” will help create an attitude of gratefulness for the things others do for us (Phil. 4:6, 7; 1 Thess 5:18; Col. 2:7; Eph. 5:20). Wisdom Understanding what is true from God’s perspective, and doing what is right Wisdom comes from God and our respect for Him. It is developed in our lives by our proper response to correction. If we do not respond to correction with a teachable spirit, the Bible calls us fools and unable to attain wisdom. (Prov. 1:7, 20-23; Prov. 2:1-22; Prov. 4:7).
STATEMENT OF COOPERATION I agree to cooperate with PCCA in every way possible, including academic, behavioral, dress and disciplinary policies. I further agree that if I have any concerns with the academy policies or programs, I will bring it first to the teacher and/ or the Academy administration prior to discussing it with others. I agree to assume the responsibility of my child’s education through supervision of homework, encouraging my child and by keeping in regular contact with his/her teacher. I realize that Parent Meetings are important for the educational welfare of my child, and therefore, I will make every effort to be in attendance. I realize that the discipline of my child is initially my responsibility. However, I give the teacher and administration full discretion in the discipline of my child in accordance with the Academy’s discipline policy. This may include, but not be limited to, detention, suspension, or expulsion from the Academy program. I understand that the Academy reserves the right to dismiss any student who refuses to cooperate with the educational process or adhere to the standards of conduct. I also understand that it may be necessary to withdraw my child if I cannot cooperate with the Academy policies as defined in the Parent/Student Application. I understand that for enrollment to be complete, the full registration and enrollment fees must be received and that these fees are non-refundable. I also understand that if I withdraw my child or my child is dismissed from the Academy once classes have begun, I am responsible to pay any tuition and fees due, and that records cannot be forwarded to another school until all financial obligations have been satisfied. I absolve the Academy from any liability because of any injury to my child at school or during any school activity. In case of an accident or serious illness, the Academy may call a physician in the event I cannot be contacted. If the Academy is unable to contact a physician, the Academy may make whatever arrangements are necessary. The Academy will be held harmless for any medical treatment or care provided to my child by a licensed physician, hospital or emergency rescue squad. I further agree to hold the Academy and its agents harmless for any liability to my child, or any agent thereof, because of any injury or alleged injury to my child. Should legal action, for any reason, be taken against Pine Castle Christian Academy or any employee or agent thereof on my child’s behalf, and the Academy or its agents be found not at fault, I agree to pay any attorney fees, court costs, damages or other costs that Pine Castle Christian Academy or its agent incur to defend itself against such action.
PCCA AFFIRMATION OF FAITH We affirm one God who is manifested in three persons. We affirm the Father Almighty, maker of heaven and earth, who created all things, both visible and invisible, for His own glory and pleasure. We affirm our Lord Jesus Christ, who is one in substance with the Father, by whom all things were made; who for us and for our salvation came down from heaven; who was conceived by the Holy Spirit, and born of a virgin; who was raised bodily on the third day according to the scriptures; who ascended into heaven; who sits at the Father’s right hand, having received all authority, and is the Lord of all; who shall come again in glory to judge the living and the dead; and whose kingdom shall never end. We affirm the Holy Spirit, who proceeded from the Father and the Son; who is equal with the Father and the Son; who is baptizer and filler, teacher and comforter, indweller and uniter of God’s people; who is the author and interpreter of the Holy Scriptures; and who is the revealer of our Lord and is the giver of all the things of God. We affirm the Bible to be the inspired Word of God. We affirm that all the will of God is included in these two commandments: The foremost is, “And you shall love the Lord your God with all your heart, with all your soul and with all your strength.” The second is this, “You shall love your neighbor as yourself.” There is no other commandment greater than these.” Mark 12:30-31.
THE HONOR CODE Because I believe that honor towards God and man is essential, I promise not to lie, cheat, steal, defame others, intentionally damage the property of another, or remain silent when I have knowledge of these actions. The Honor Code encompasses six main areas: lying, cheating, stealing, defaming others, intentionally damaging the property of another, or remaining silent when I have knowledge of these actions. In the Pine Castle Christian Academy community, lying, cheating, defaming others and intentionally damaging the property of others cannot be tolerated. Lying: A person lying or purposely misrepresenting the truth violates the Honor Code. Cheating: A person giving or receiving unauthorized help on a test or graded assignment, or a person submitting the work of another as his/her own violates the Honor Code. Defaming Others: A person writing or speaking with malicious intent to injure unjustly a person’s reputation violates the Honor Code. Malicious intent is the deliberate attempt and plan to do harm. Intentionally damaging the property of another: A person deliberately and intentionally causing damage to property of the Academy, the property of the faculty, staff and administration, or the property of his/her fellow students violates the Honor Code. Remaining silent when I have knowledge of these actions: When someone has personal knowledge of the Honor Code being violated, they are obligated to inform the proper authority (teacher, coach, administrator, etc.). Pine Castle Christian Academy reserves the right to suspend and, when circumstances warrant, to dismiss students whose behavior is disrespectful, disruptive, immoral, and illegal. PCCA also reserves the right to suspend or dismiss a student whose conduct is detrimental to the Academy Community. This includes behavior at School activities and outside of the school campus. The disciplinary process of the Academy is designed to support the members of the Academy Community and the Academy’s mission and reputation. It is the intention of the Academy to use minor problems and misconduct as teaching opportunities. PCCA will, however, separate the student from the Academy when actions or behaviors determine that continuation damages the community or the ability of the Academy to pursue its goals.
STATEMENT OF PARENTAL COOPERATION I recognize that PCCA works as an extension of me, the parent or guardian, and I pledge my support to the academy administration and faculty. I agree that discipline is necessary for the welfare of each student, as well as the entire academy. I hereby give permission for my child’s teacher, and/or other members of the academy staff and administration to enforce all classroom regulations and academy policies in a manner consistent with Christian principles of discipline. I also understand the Administrator has full authority to suspend or dismiss my son/daughter not only for his/ her benefit, but also for the benefit of PCCA as a whole. I understand that the operating expenses of a school like Pine Castle Christian Academy are fixed, and a loss is realized if any vacancy occurs during the school year. In support of the Academy’s obligation to its staff, I agree to keep my son/daughter enrolled for the school year if at all possible. I understand that the tuition will be pro-rated in the event my child is withdrawn from the academy for any reason. It will be pro-rated by the month, therefore, if a child is present for any part of a month, they will owe tuition for the entire month. I understand that the academy, at its discretion, may withhold transcripts of grades, final exams, diplomas, etc. due to non-payment of bills. I also understand that if my child’s tuition is 35 days late, my child will not be allowed to stay in class until my overdue balance obligation has been met. I hereby release Pine Castle Christian Academy of any responsibility for any accident or injury that might occur while on school premises or en route to and from school or while involved in any school activity. As a family, we are committed to following the Matthew 18 principle of reconciliation; that if concerns or disagreements arise over issues or incidents related to the welfare of our children, we would go to the individual involved and seek a mutually satisfactory remedy in the bonds of Christian love.