>Home >Prospective Students Share Email Print Facebook Pinterest Reddit Twitter FOR YOUR CONVENIENCE, you may complete our online registration form below, or if you prefer, you may download a printable form to be hand-submitted to the school. GENERAL INFORMATION Please check the information below and make any necessary changes. This information is needed for the school register and cumulative folders. Since these are legal documents, they need to be kept updated. Rest assured that all information submitted shall remain strictly confidential and will be shared with no one other than school officials with a need to know. Thank you for taking the time to make this form as complete as possible. Pupils full name Birth date Birth place Last grade completed Name of last school attended Is the student baptized? Yes No If yes, date of baptism Place baptized Place of membership Father's name Mother's name Student's home address Student's mailing address if different from above Phone number PARENT INFORMATION Father Father's address if different from above Father's phone Father's work phone Father's cell phone Father's occupation Father's church affiliation Father's citizenship Father's place of birth Language spoken at home Father's highest level of education completed Elementary school High school Technical school Associates Degree Bachelors Degree Masters Degree PHD Degree Mother Mother's address if different from above Mother's phone Mother's work phone Mother's cell phone Mother's occupation Mother's church affiliation Mother's citizenship Mother's place of birth Language spoken at home Mother's highest level of education completed Elementary school High school Technical school Associates Degree Bachelors Degree Masters Degree PHD Degree EMERGENCY CONTACT INFORMATION: In case of emergency, we may call Relationship Home phone Work phone Family doctor Family doctor's phone Does your child have an IEP, Individual Education Plan? Yes No Email Address Do you anticipate needing after school care? Yes No I GIVE MY PERMISSION FOR MY CHILD TO BE: (PLEASE CHECK ALL THAT APPLY). Videotaped or have pictures taken for student evaluation Yes No Photographed for the year book Yes No Photographed for the school web site Yes No Included in the student directory with their name, parent's name, address and phone number Yes No THIS DIRECTORY IS GIVEN TO EACH FAMILY AT THE BEGINNING OF THE YEAR If all the information is correct, please sign below. (Please be advised that this equates to your official electronic signature) Signature Date signed FINANCIAL INFORMATION: Parent/Guardian name(s) Student's name (s) Home address Billing address if different from above Phone Cell phone Email Address Check all that apply I am an Adventist ...Constituent of the Gardner SDA Church ...Constituent of the Fitchburg SDA Church ...Non-constituent Adventist Non-Adventist SNEC 3-way Plan I am planning to apply for the Southern New England Conference 3-way Plan. I am NOT planning to apply for the Southern New England Conference 3-way Plan. Do you anticipate needing assistance from the WHCS Scholarship Fund? Yes No Please keep in mind that the availability of funds is limited and reserved for the most needy. Fulfillment of requests is subject to school board vote based on perceived need with Adventist affiliation taking first priority. Typically, our customary scholarship is $50/mth. If yes, amount requested per month Do you expect to receive any financial assistance from any other source. Yes No If yes, please provide source I would like to request special consideration in paying my tuition based on the following plan of action REMINDERS: * All outstanding balances from previous years must be paid in full prior to registering for current year. * Tuition balances in excess of 1 month overdue will jeopardize your child's continued enrollment, unless other financial arrangements have been made with the treasurer. * A 5% discount applies for upfront payment of entire year. * First semester deadline for SNEC 3-way plan application to be received by conference is October 31st. * Second semester deadline for SNEC 3-way plan application to be received by conference is March 31st. Submit
