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Registration Form

Please complete this registration form as thoroughly as possible.** The information you provide will help us begin the enrollment process and better serve your family. Please complete a separate application for each child applying for admission. Once your application has been submitted, a member of our staff will review it and contact you regarding the next steps.

Step 1 of 3 – Student and Parent/Guardian Information

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Company

This field is for validation purposes and should be left unchanged.

Student Name*

First Middle Last

Date of Birth*

Student Gender*

Place of Birth*

Social Security*

Academic Year*

Previous School (if applicable)

Name of student's current or most recent school

Grade Level*

Select the grade level the student will be starting in

Programs & Activities

Select additional program your child may be interested in (fees may apply)

Homeschool Bridge Program

Parent/Guardian Name*

First Last

Parent/Guardian Email Address*

Enter Email Confirm Email

Relationship to Student*

Phone Number*

Other Phone Number

Occupation

Address*

Street Address City State / Province / Region ZIP / Postal Code

Same as Residential

Check this box if your residential address is the same as your mailing address.

Mailing Address

Church Membership (Church attendance is not required to enroll at 4MACS)

Seventh-Day Adventist Church

No Church Membership

Non-Christian Faith

Other

Sole Parent/Guardian

Check this box if you are the child’s only parent/guardian.

Second Parent/Guardian Name

First Last

Second Parent/Guardian Email Address

Enter Email Confirm Email

Second Parent/Guardian Relationship to Student

Second Parent/Guardian Phone Number

Other Phone Number

Occupation

Church Membership (Church attendance is not required to enroll at 4MACS)

Seventh-Day Adventist Church

No Church Membership

Non-Christian Faith

Other

Residential/Mailing Address

Check this box if the second parent/guardian’s residential and mailing address is the same as the first parent/guardian’s.

Residential/Mailing Address

Required Documents

Please upload the following documents: Birth certificate and/or passport, and immunization records.

Drop files here or

Max. file size: 20 MB.

Medical Information

Any allergies, medications, or medical conditions we should know about

Special Needs or Accommodations

Please describe any learning differences or special accommodations needed

Emergency Contact Information*

Please provide name, relationship, and phone number

Photo and Media Release*

School photography and media permissions

I authorize the school to photograph/video my child for yearbook, website, social media, and promotional materials

I authorize the school to use my child's work samples for educational displays

Parent Acknowledgment*

I understand that 4MACS is an Adventist Christian school, and as part of a larger Adventist
educational system, 4MACS is pleased to welcome young people and their families who desire a Christian education.

I agree

Parent Acknowledgment*

I understand there is a registration fee of $200 and agree to pay it.

I agree

Parent Acknowledgment*

I agree to see that this student’s tuition is cared for monthly. I have received a copy of next year’s monthly tuition.

View the next year’s monthly tuition

Parent Acknowledgment*

I agree to cooperate with the school board and teachers by avoiding adverse criticism of any teach or school policies in the presence of students.

Parent Acknowledgment*

I have received a copy of the current 4MACS Handbook and agree to support each regulation of the
school. I am aware the Handbook is updated each calendar year. I will assist my student to abide by the standards of dress and conduct.

I agree

View the School Handbook

Parent Acknowledgment

I will provide a copy of my student’s records from previous schools attended.

Parent Acknowledgment*

I will provide a copy of my student’s immunization records.

I am claiming a religious exemption from immunization requirements and understand that I must complete and submit the required Colorado exemption documentation before my student can attend school, as required by state law.

Consent*

I agree to the privacy policy.

Parent Acknowledgment*

I will provide a copy of my student’s birth certificate.

Parent Acknowledgment*

I understand that completing this form and paying the registration fee places my student on the 4MACS Waiting List. I understand the Principal is authorized to select children from the waiting list who best match the school philosophy and mission and are likely to progress academically, regardless of length of time on the waiting list.

Enrollment Referral Information*

How did you hear about Four Mile Adventist Christian School?

Friend or Family Member

Current 4MACS Parent

Church Member

Cañon City Shopper

Facebook

Instagram

Google Search

School Website

Yard Sign/Bumper Sticker

Community Event

Direct Mail (USPS)

Other

Parent/Guardian. Please sign to acknowledge agreement to the enrollment contract terms*

By entering your full name, you are agreeing to uphold the registration form. Your typed signature indicates your understanding and acceptance of this document.

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Registration Form

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