Student Application

Parkway Children's School of EXcellence

Legal Name of Student * First Last
Date of Birth * / MM / DD YYYY
Sex of Child * Male Female
Projected Start Date * / MM / DD YYYY
Attendance Schedule
Preferred Days Monday Tuesday Wednesday Thursday Friday
Types of Days 5 Days Extended 5 Days 8am - 3pm 3 Days Extended 3 Days 8am - 3pm
Payment Schedule
Father's Information
Full Name First Last
Social Security Number
Home Phone - (###) - ### ####
Work Phone - (###) - ### ####
Mobile Phone - (###) - ### ####
Email
Home Address
Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Employer Name
Occupation
Work Address
Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Mother's Information
Name First Last
Social Security Number
Home Phone - (###) - ### ####
Work Phone - (###) - ### ####
Mobile Phone - (###) - ### ####
Email
Home Address
Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Employer Name
Occupation
Work Address
Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Other Information
Preferred Code for Sign-in & Security Door Access
Marital Status
How did you hear about Parkway Children's School of Excellence?
Church Affiliation
Would you like more information regarding the programs and ministries of Parkway Community Church? Yes No
I understand that by enrolling my child at Parkway Children's School, I am reserving a space for my child. Tuition payment is required and is non-refundable whether he/she attends or not. There will be no credit given for missed days.

Student Application

Student Application

Attendance Schedule

Father's Information

Mother's Information

Other Information

I understand that by enrolling my child at Parkway Children's School, I am reserving a space for my child. Tuition payment is required and is non-refundable whether he/she attends or not. There will be no credit given for missed days.