Your application cannot be processed until it is complete, this includes the registration fee. Once the application is complete, you will need to set up an appointment for an interview. Both parents must be at the interview.

Application for Admission INSTRUCTIONS:  Please complete the following information.  Accuracy is important for school records.  If a question is not applicable to you, draw a line through the space provided for the answer.  Please print neatly and legibly.
Today’s Date:		Grade Applying For:
Last,                                                                First                                     Middle Initial
Student’s Full Name:
Age of Child:	Date of Birth (mm,dd,yy):				 Male      Female
Place of Birth:
Current Address:						Apt. #
City:	State:		Zip Code:	County:
Home Telephone:

EMERGENCY INFORMATION In case of an emergency, please provide the names and telephone numbers of two people.  The first contact may be the parent or guardian of the child and the second contact must be someone other than the parent or guardian. 1. Name:                                                                                                           Telephone:

2. Name:                                                                                                           Telephone:

PERSONAL INFORMATION Are there any unusual factors that have occurred in your child’s life?                      Yes               No

If yes, please explain:

What outstanding abilities does your child possess? (Physical, Mental, Artistic, Musical, etc.)

Has your child ever received any psychological testing?	 Yes      No
When?
Where?
Does your child have any mental, emotional, or physical handicaps that may affect his/her activities or progress?	 Yes      No
If yes, please explain:
Does your child understand the plan of salvation?	 Yes      No

EDUCATIONAL INFORMATION Name of Present School (if applicable):
Address:
Present Grade:
Has your child ever been held back a grade?	 Yes      No
If yes, which grade?
Would your child be attending our academy for a full school year?	 Yes      No
Reason for your desire to change your child’s school:
Has your child ever been dismissed or suspended from any school?	 Yes      No
If yes, please explain:

PLEASE ATTACH A COPY OF YOUR CHILD’S REPORT CARD TO THE APPLICATION FORM (if applicable)

FAMILY INFORMATION Father’s Name:
Address:
Home Telephone:	Email address:
Occupation:
Place of Employment:
Work Telephone:
Work Email address:
Mother’s Name:
Address: (if different)
Home Telephone:	Email address:
Occupation:
Place of Employment:
Work Telephone:
Work Email address:
Names and ages of siblings:
Child’s parents are:         Married                 Separated              Divorced               Never Been Married
Who does your child reside with?
Does your family attend a church?
If yes, name of church?
Church Address:
Pastor’s Name:
Church Telephone:

FOR OFFICE USE ONLY (DO NOT WRITE IN THIS AREA)

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1. It is the goal of Yonkers Christian Academy to provide an excellent academic experience for every child, to lead each child into a saving relationship with Jesus Christ, and to see them grow in their relationship with Christ.
2. We have read the school objectives and are willing to have our child trained in accordance with them.
3. Our/My cooperation is expected in regular tuition payments, purchasing required instructional materials, faithful prayer support, and whenever possible, practical helps or a special gift since tuition does not cover all of the operating costs of Yonkers Christian Academy.
4. The Administration has full responsibility for placing my child in his/her proper grade.
5. The teacher has full discretion in the classroom discipline of my child.
6. The school reserves the right to dismiss any student who does not respect or whose parents do not respect its spiritual standard or cooperate in the educational process.
7. Our/My child has permission to go on scheduled field trips and other school activities.
8. I understand that failure to abide by the Academy’s rules or to comply with the tuition policy will be grounds for the expulsion of my child. 
9. Photo Release:  We/I hereby allow Y.C.A. to use photographs or images of me/us/my child for appropriate promotional materials.

1. Both parents (if applicable), must agree not to oppose the Biblical teaching of the school, and must be supportive of their child’s attendance at Yonkers Christian Academy.
2. The parents must sign the Parental Agreement form indicating their willingness to comply with the stated requirements.
3. Parents and students will be interviewed by the Admissions personnel.  Both parents must be interviewed except under unusual circumstances.

1. Tuition:  If the total tuition is prepaid by July 1, a 3% discount will be allowed.  If pre-payment is not made, then tuition payments may be made in ten (10) monthly installments, beginning in August, with the final payment due in May.
2. Should financial difficulties prevent payment by the due date of each month, parents must contact the school office to explain the reason and make suitable arrangements for payment.  Accounts delinquent will be charged a $25.00 late fee.  Students will not be permitted to attend graduation exercises or receive a certificate, report card, or transcript until all tuition is paid in full.  Children of parents owing tuition will not be re-admitted to Yonkers Christian Academy the following semester unless suitable arrangements are made with the school office.  There will be no exceptions.
3. Failure to meet the above stated obligations will result in Board action to consider refusal of enrollment for subsequent semesters whether or not tuition is paid.
4. If a student is withdrawn after school has begun, a two week notice of intent to withdraw must be sent to the office.  When a two week notice is given, the tuition refund will be pro-rated based on the student’s last day of attendance.  If no notice is given, tuition will be forfeited.  There is no refund of the registration fee.
5. If a student is expelled or withdrawn at the recommendation of the school, tuition will be due on the basis of 1/180th of the annual rate for each school day the child has been a student.
6. All unpaid tuition from past years is due the school.  Parents may determine the status of their tuition by calling FACTS MANAGEMENT COMPANY using the toll free number provided.  All other payment inquiries can be made through the school office.  A student will not be re-admitted into the Academy until all past due debts are paid.
7. Check or money order tuition payments are to be mailed to FACTS.  Tuition payments will not be accepted in the school office.  If a check is returned for any reason, your account will be assessed a $25.00 service charge.

REGISTRATION FEE:	$  50.00 per student by June 1st $100.00 after June 1st
STUDENT FEE:	(Textbooks, supplies, SAT’s, etc.) Pre-School       $160.00 Kindergarten    $210.00 1st – 8th Grade  $325.00
TUITION:	Grade	Days per Week		Annual	Monthly
	Pre-K 3	3  days		$4,190.00	$419.00
		4  days		$4,745.00	$474.50
		5  days		$5,190.00	$519.00
	Pre-K 4	4  days		$4,446.00	$444.60
		5  days		$4,836.00	$483.60
	K–8th Grade	---------		$3, 840.00	$384.00
FACTS TUITION FEE: AFTER SCHOOL CARE:	Billed by FACTS Daily Rate:  $7.00 ( Rate is the same for all ages and MUST be pre-paid)
FAMILY  DISCOUNTS:	First Child		Full Price
	Second Child		10%  discount
	Third and additional children		35%  discount
	Minister  (Full-time)		10%  discount
	No other discounts apply with this policy

Yonkers Christian Academy Uniform Policy 2010 – 2011

GIRLS:  K – 8TH Grade
Grade Level	Uniform Description
5th – 8th    Only	Burgundy Polo with YCA name (short sleeve only) – NEW!
5th – 8th	Burgundy and Gray Plaid Skirt (skirt only)
K - 4th  only	Burgundy and Gray Plaid Jumper (no skorts)
K – 4th only	Plaid tie (snaps in the middle)
K – 4th	Pink blouse, short/long sleeves
K – 8th	Knee socks/tights – Pink, White, Burgundy
K – 8th	Sweaters – Cardigan – Burgundy
K – 8th	Shoes – Black dress shoes (not sneaker type)
BOYS:  K – 8TH Grade
Grade Level	Uniform Description
5th – 8th only	Burgundy Polo with YCA name (short sleeve only) – NEW!
K – 8th	Slacks – Charcoal gray
K – 8th	Belt - Black
K – 4th only	White Dress Shirt, short/long sleeves, button down - no polo shirts
K – 4th  only	Tie – Solid burgundy only
K- 8th	Sweaters – Cardigan or Vest – Burgundy
K – 8th	Shoes – Black dress shoes (not sneaker type)
K – 8th	Socks – Gray/Black ONLY

Uniforms are to be purchased at a uniform facility.  A list can be obtained in the school office.  In order to maintain decorum and present ability, parents are to provide at least (3) (but no fewer than 2) uniform sets.

T-shirts, etc., with distracting pictures and/or sayings on them are not to be worn under uniforms.

Any part of the uniform which is lost or damaged must be immediately replaced.  No child will be permitted to class without full dress uniform.  The school will not be held responsible for lost or misplaced clothing.