Ridgetop Adventist Elementary School (RAES) Registration Form
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Email *
Student Name: *
School Year Applying For: *
Grade:  *
Gender *
Date of Birth *
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DD
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YYYY
Age *
Address: (Include street address, city, state, and zip code) *
Home Church: *
Baptized? 
If yes, please enter date in next question.
If no, skip next question.
 *
Baptism Date:
MM
/
DD
/
YYYY
Phone Number(s):
(Include mother, father, and/or guardian)
 *
Parent Information: *
**If parents are divorced, who has primary custody?
**Are there any custody or "No Contact" court order in place regarding the child?
***Copies of any such court orders must be on file with the school.***
Clear selection
Emergency Contact #1:
(Include Name, Relationship to Student, and Cell Phone)
 *
Emergency Contact #2:
(Include Name, Relationship to Student, and Cell Phone)
 *
Any Allergies or Health Problems: *
Any Medications? *
Any physical disabilities, learning disabilities or special needs? *
Siblings: *
Application for Admission:

Ridgetop Adventist Elementary School admits students of any race, color, national and ethnic origin to all the rights, privileges, programs, and activities generally accorded or made available to students at our school and makes no discrimination on the basis of race, color, national and ethnic origin in administration of education policies, applications for admittance, and extracurricular programs. Ridgetop Adventist Elementary School reserves the right to withdraw acceptance or dismiss the applicant from school in the event that incomplete or inaccurate information is provided. The application information is confidential and is intended for the school’s purposes only. Parents/guardians are responsible for providing RAES with any updates to information contained herein in a timely manner should changes occur during the school year. This form is an application for admission only. Upon completion of all application procedures and Admissions Committee approval, you will be notified of acceptance.

We (I) affirm that the information provided in this application is true to the best of our (my) knowledge


Type PARENT NAME & date for e-Signature below:

ex: Ellen White, 02/22/2024 (mm/dd/yyyy)
 *
Student Technology & Network Use Pledge:

-I will follow all of the ideas, guidelines, agreements and restrictions found in the Network and Technology Initiative. 

-When I find information online, I will put it all in my own words, and will include appropriate references when I reference or quote it.

-I will only view websites that are appropriate to students my age and/or educational content relevant to school assignments.

-I will be polite and Christ-like when communicating online.

-I understand that my communication online and files saved are not private.

-I will not give out personal information about myself or others to anyone on the Internet.

-I will not share my password or use anyone else’s for any reason.

-I will not alter computer or network files/settings or install programs without permission.

-I understand that use of the RAES network is a privilege which I could lose should I violate this pledge and Network Use Policy. I understand that any school work missed because of lost privileges will be my and my parent’s responsibility to complete at home.


Type STUDENT NAME & date below:


ex: Ellen White, 02/22/2024 (mm/dd/yyyy)  

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Parent/Guardian Network Use Agreement:

I agree to support and uphold the above Network & Technology Use Policy, and associated policies found in the Student and Family Handbook.

I agree to support the school in the enforcement of the policies herein, and to assist and support my child(ren) in upholding the Student Network & Technology Use Pledge.

 *
  Parent/Guardian Network Use Agreement e-Signature:

Please type PARENT NAME & date below:

ex: Ellen White, 02/22/2024 (mm/dd/yyyy)
 *
Permission for Medication:

Whenever possible, medication should be given at home. However, when a child needs to be given medication at school, the policy is as follows:


- The child must be able to self-administer any medication.

- All medication must be in the original container (including over-the-counter).

- All medications must be stored in a secure cabinet accessible only to authorized school personnel.


Prescription medications must have a physician’s authorization. The original prescription or refill must be provided by the parent and include the student’s name, date, medication dosage, strength, and directions for use which includes frequency, duration, means of administration, physician and pharmacy name and phone number.


The use of any medications at school requires this form to be on file in the school office.


Parents must send written authorization for each medication with specific directions for use including frequency and dosage.


Please note that the school does not keep prescription or over-the-counter medicines on hand, and does not dispense medicine to students without the above written authorizations.


My child may self-administer medications when they have been sent with my authorization and the conditions stated above fulfilled.


Please type PARENT NAME & date below:

ex: Ellen White, 02/22/2024 (mm/dd/yyyy)
 *
Media Release:
Ridgetop Adventist Elementary School has my permission to use photographs or videos of my child in school publications, on their website, and in promotional materials. Student names will not be published in off-campus or digital materials.
 *
Media Release e-signature:

Please type PARENT NAME & date below.

ex: Ellen White, 02/22/2024 (mm/dd/yyyy)
 *
- Please bring these documents with you when you register your child!

- Copy of Birth Certificate (If 1st year at RAES)

- Current Immunization Record (If Your child is entering Kindergarten, 7th grade, or it is their 1st year of school)

- Physical (If Your child is entering Kindergarten, 7th grade, or it is their 1st year of school)
 *
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