BPWS Kindergarten Registration
Buford Presbyterian Weekday School's kindergarten registration form for the 2024-2025 school year.
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Student Information Section
Please answer all of the following questions.  
Child's name (First and Last) *
Preferred name for classroom use *
Date of birth *
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Gender *
Home address (include city and zip code) *
Parent 1 name *
Parent 1 cell phone number *
Parent 1 email address *
Parent 2 name
Parent 2 cell phone number
Parent 2 email
Who would you like email correspondence to be sent to?  *
Parents' marital status
Do both parents have custody rights? *
Has your child previously attended school?  If so, where? *
How did you hear about our school?  If referred, please tell us who to thank!
Please list all siblings, indicating name and age/grade level
Primary language spoken at home *
Does your child speak/understand English? *
Church normally attended (if applicable)
Denomination/religion
Does your child have any allergies? *
If your child does have allergies, please provide specific information on the nature of the allergy.  Does your child use an Epipen? If there is an allergy plan, we will need a copy of it from your child's pediatrician.  
Does your child have evidence of hearing loss, vision difficulties, speech delays, or developmental delays? *
If previous answer was yes, please explain. 
Does/will your child receive developmental services from Babies Can't Wait, Gwinnett County Schools, and/or other public or private services for physical, occupational, behavioral, speech, and/or other delays? *
If previous answer was yes, please explain.  
*While we wish we were able, BPWS is not equipped to accommodate all delays and/or special needs. *
Any other health issues we need to be aware of?
Emergency Contacts Section
In addition to custodial parents, it is understood that any person(s) listed below have permission to pick up your child from BPWS in the event of illness, accident, or at your convenience.  If any person below will regularly pick up your child in carpool, they will need a carpool tag.  
Emergency contact 1 name and relationship to child
Emergency contact 1 phone number
Emergency contact 2 name and relationship to child
Emergency contact 2 phone number
Parent Agreement Section
Please read carefully and initial after each statement.  
I wish to enroll my child at Buford Presbyterian Weekday School (BPWS) for the 2024-2025 school year.  I understand that the registration fee is due at the time of registration in the amount of $350 and is without exception non-refundable at the time of payment.  The registration fee does not apply to any month's tuition.   *
I understand for that this registration form to be complete, I must pay the registration fee which is equal to one month's tuition ($350) for the class selected within three days of submitting this form.  Fee can be submitted via cash or check to the black drop box on the curb in front of the church or email bufordpws@gmail.com for alternative arrangements.  
 *
I agree to make ten tuition payments via cash or check (payable to BPWS) in the amount of $350 in accordance with the following tuition payment schedule:

Registration Fee- Upon registration
Tuition Payment 1 and Activity Fee- June 1, 2024
Tuition Payment 2- August 5, 2024
Tuition Payment 3- September 3, 2024
Tuition Payment 4- October 1, 2024
Tuition Payment 5- November 1, 2024
Tuition Payment 6- December 2, 2024
Tuition Payment 7- January 6, 2025
Tuition Payment 8- February 3, 2025
Tuition Payment 9- March 3, 2025
Tuition Payment 10- April 1, 2025
 *
I understand that a late fee of $25 will be added to my child's tuition account for any payments not received by the fifth day of the month (except in January).  If my tuition account becomes two months past due at any time, I understand that my child will be withdrawn from enrollment.  All tuition payments are without exception non-refundable and non-transferable at the time of receipt.  I understand that if any check is returned by the bank, I will be charged a $30 returned check fee.   *
I understand morning carpool runs from 9:20-9:35 am and afternoon carpool runs from 1:20-1:35 pm.  If I am late to pick up my child from afternoon carpool, I will be charged a late fee of $10 plus $1 for every minute I am late past 1:40 pm and any fees will be added to the subsequent month's tuition statement.   *
I understand tuition payment 1 (due June 1, 2024) is required to confirm and guarantee my child's enrollment for the beginning of school and that it is without exception non-refundable and non-transferable at the time of receipt.  Without receipt of this payment by June 1, 2024, BPWS has the right to relinquish my child's spot to another applicant.  I understand if I enroll my child subsequent to June 1, I must pay tuition payment 1 at the time of enrollment with registration.   *
I understand that a curriculum/activity fee of $125 per kindergarten student is assessed annually and will be billed with the tuition payment 1 due June 1, 2024.  This fee is non-refundable should your family leave our program at any subsequent point in the school year.  For any registrations received after June 1, the $125 curriculum/activity fee should be included with the registration fee upon enrollment.  A short supply list will be provided prior to the beginning of school with school supplies we ask you send in for your child/the school.   *
I understand BPWS makes staffing and budget decisions based on enrollment at the beginning of the year and that by enrolling my child I am committing in good faith that my child will attend BPWS for kindergarten for the entire 2024-2025 school year.  I am committing to paying tuition through April 1, 2025 as per the above payment schedule.  Should I need to withdraw my child from BPWS due to an unforeseen family circumstance, two months' notice is required and tuition payment 1 will be applied to the final month of tuition.  If I have not yet made tuition payment 1 due to late enrollment, I understand that I will be responsible for paying the equivalent of two month's tuition payments in full if I do not provide two months' notice.  I understand that tuition already paid will not be refunded should I withdraw my child from BPWS for any reason.   *
I understand that I must provide a current, unexpired Georgia Immunization Certificate (Form 3231) from my child's pediatrician no later than AUGUST 1, 2024.  The form must be received prior to a child attending school and kept updated by the parent for the child to continue attending.  Children will not be permitted to begin school without this form.  There will not be any exceptions given for this requirement.  If at any time the child's immunization form expires, the form will have to be updated by the child's pediatrician prior to the child returning to school.   *
It is mutually agreed that in the event of an accident or illness of my child while in the care of BPWS, BPWS shall use its best efforts to contact the parent(s) immediately.  When the parent(s) cannot be immediately reached, BPWS will use its best effort to contact the emergency contacts provided in the order listed on this registration document.  In the event the parents and the emergency contacts are not immediately available, BPWS is authorized to secure such care as the situation may reasonably warrant.   *
I attest I have been forthcoming with any and all special needs, delays, and behaviors that I have noticed as a parent, have discussed with my child's pediatrician, or have been raised at previous schools.  I understand that BPWS offers general education classes and is not equipped to accommodate all delays and/or special needs, in consideration of the safety, support, and continuing development of each child within our program.  BPWS reserves the right to terminate a child's enrollment at any time due to any delays, behaviors, and/or special needs which we are unable to accommodate.   *
I attest that I am the aforementioned child's parent/legal guardian and that I have legal custody to make decisions on behalf of this child, and as such I agree that where BPWS has acted in good faith to comply with accident and/or illness procedure, it shall not be liable for any accident and/or illness to this child, and any and all liability as might otherwise exist being expressly waived by the parent/legal guardian.   *
BPWS qualifies for an exemption from state licensure.  As a parent of a child attending BPWS, I acknowledge that I have been advised that BPWS is not licensed and is not required to be licensed by the state as per the exemption rules with Bright from the Start (Rule 591-1-1-.46).  By initialing, I acknowledge that I am also aware that Buford Presbyterian Church carried liability insurance for BPWS.    *
I agree to read and abide by all of the policies in the parent handbook, which is to be provided by BPWS before school begins. I grant permission for my child's name, parent names, home address, phone number, and email address to be included in a class directory, which may be distributed to other parents in my child's class.  I also give permission for my child to be photographed or videoed, understanding that these photos/videos will be used on my child's class app or private Facebook page.  Photos/videos may also be shared by representatives of the school on the BPWS website, Facebook page, or newsletters subject to terms outlined in the parent handbook.  If I choose to opt out of having my child's images in a public forum, I will notify the directors in writing.   *
By typing my full name below, I acknowledge my understanding and agreement to the aforementioned parent agreement.   *
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