Shaping Hearts and Minds

Mr. Robert T. Law High School Principal Administrator Mr. Stephen L. Fletcher Elementary/Middle School Principal Pastor Rick Wilson Senior Pastor Pastor Kenny D. Kirby Student Ministries Pastor Shaping Hearts and Minds The purpose of Denbigh Baptist Christian School, a mission outreach of Denbigh Baptist Church, is to assist the family in fulfilling their God-given responsibility for the training of their child, by providing an education marked by a Biblical world view, curricular and extra-curricular excellence, and affordability so that students will be equipped to impact their world for the glory of God. The mission of Denbigh Baptist Christian School is to EDUCATE the mind, NURTURE the soul, and SHAPE the character of each student and staff member in a Christ-centered environment, based on the Truth of God s Word. The vision of Denbigh Baptist Christian School is to develop students who will ENGAGE God s Truth, EXAMINE all things in light of God s Truth, and EMBRACE what is consistent with God s Truth. 13010 Mitchell Point Road Newport News Virginia 23602-6912 (757)249-2654 FAX(757)249-9480

T hank you for considering DBCS in providing for the educationalal needs of your family. We trust that many of your questions will be answered as you review the materials provided, and suggest that you visit our web site at dbcs.org. The DBCS Student Handbook can be accessed and downloaded on our web site, or a printed copy may be picked up at the school office. Founded in 1969 as a ministry of Denbigh Baptist Church, the purpose of DBCS is to provide a sound education, integrated with a Christian view of God and the world, based upon the authoritative and inerrant Word of God. A copy of our doctrinal statement, which governs both church and school, can be found in the front of the Student Handbook. Today, DBCS is a school of approximately 250 students, offering quality education from the age of 2½ through the twelfth grade. We are accredited by The Association of Christian Schools International, an agency which is recognized by the Virginia Council for Private Education and the Commonwealth of Virginia. Our school offers a traditional academic setting in which the fundamentals, including a phonetic reading program, are taught. Our secondary school students are offered classes in Chemistry, Physics, Anatomy, AP Biology, and AP English 12. DBCS is also blessed to offer dual enrollment classes in mathematics with Thomas Nelson Community College. DBCS offers a computer program for Elementary through Middle School to prepare our students to navigate the information age. Music and art are a regular part of the Elementary and Middle School curriculum and are offered as electives in High School. Denbigh Baptist Christian School is pleased to offer an exciting athletic program for both girls and boys. With Middle School, Junior Varsity, and Varsity teams, students are offered a full array of interscholastic sports activities through the METRO Athletic Conference. Our program includes basketball, soccer, tennis, volleyball, track, cross country, and golf. Many of our graduates have furthered their education at both Christian and secular colleges and universities. DBCS graduates have gone on to successful careers after graduating from Cedarville University, Messiah College, Philadelphia Biblical University, Samford University, Campbell University, Liberty University, the U. S. Naval Academy, the University of Virginia, the University of Southern California, Virginia Tech, The College of William and Mary, Christopher Newport University, and the University of Mary Washington, to name but a few. Our graduates have pursued graduate studies in engineering, mathematics, history, medicine, and law, as well as in numerous other disciplines. Our registration for the 2014-2015 school year opens to the general public on February 18, 2014. Please note that a list of items necessary to complete the application can be found on the page entitled Application Checklist. All of these items must accompany the completed application in order for it to be accepted. The acceptance of your application reserves a space for your student in the desired grade until final acceptance has been assured. The stated registration fee is also due at the time you tender the application. Please keep in mind that parents, as well as Middle/High School students, must read through the entire current Student Handbook before signing the Statement of Cooperation on page four of the main application. Train up a child in the way he should go; and when he is old, he will not depart from it." Proverbs 22:6

I. REGISTRATION & TESTING FEES * $100 registration fee per student / $200 maximum per family - Non-refundable * $45 testing fee - payable on testing date if testing is deemed necessary - Non-refundable II. TUITION SCHEDULE & BOOK FEES - Book fees are non-refundable E3 3-Day 1/2 Day E3/E4/K5 5-Day 1/2 Day E3-5th All Day 6th-8th 9th-11th 12th Book Fee $75 $100 $175 $175 $200 $200 1 ST Child $2,390 $3,715 $5,465 $6,000 $6,155 $6,365 2 ND Child $2,155 $3,340 $4,920 $5,400 $5,540 $5,730 3 RD Child $1,915 $2,970 $4,375 $4,800 $4,925 $5,090 III D.B.C.S. FINANCIAL POLICY * It is the responsibility of the parents/guardians to contact the school administrator or School Management Team chairman if financial problems arise. * Pay in full by August 1st 2% discount applied * Pay by semesters: August 1st and January 2nd 1% discount applied * Ten Equal Payments: First Payment August 1, Final Payment May 1 of following year. $50 late fee if paid after the 15th of the month or first business day thereafter. * Twelve Equal Payments: First Payment June 1, Final Payment May 1 of following year. $50 late fee if paid after the 15th of the month or first business day thereafter. * NSF Fee: A $35.00 fee will be charged for checks returned for insufficient funds. After two occurrences in a school year, only guaranteed funds (cashiers check, money order, cashor certified check) will be accepted for payment. * Methods of payment: DBCS accepts cash, checks, Visa, Mastercard, and Discover. Online Payments are also accepted at dbcs.org. * Athletic fees ($100 per sport) are due at the beginning of each sports season. For those participating in golf, a greens fee will be added. * DBCS reserves the right to suspend educational services, the administering of exams, and the issuing of grades for delinquent accounts. A late fee of $50 per month is assessed to delinquent accounts. * No student will be allowed to re-enter school in August until all previous accounts are paid in full.

DBCS APPLICATION CHECKLIST For your convenience and accuracy in providing all required documentation, please use the following checklist when acquiring needed items. Please note that this checklist is part of your application and must be submitted with the application. Fully completed student application forms. This includes main application and Health Update form. Your child s original state issued birth certificate, or a state issued copy with a raised state seal. Plastic wallet sized birth cards, a copy made by you, and hospital issued certificates can not be accepted by the Commonwealth of Virginia law. If parents are divorced, the original certified court order of final custody judgment is required. In cases of legal separation, please present the court order of custody. A copy of these papers will be made for your child s permanent file with the originals returned to you. An up-to-date copy of this child s immunizations report and a copy of their latest physical. A written statement from a parent/guardian, addressing: My Responsibility in My Child s Education The registration fee of $100 per student, with a maximum of $200 per family A non-refundable registration fee is required with the completed application. All required documents are outlined on the application check-list. Applications will only be accepted if presented as a complete package. No document may be faxed or e-mailed to the school separately. Upon receipt of the completed application, entrance testing will be scheduled. A $25 testing fee is due on or before the test date. Parents are required to remain on campus during the testing. A parent/student interview with the respective principal/coordinator is part of the admissions process. The appointment for this interview may be made in the main office when the prospective student is brought in for testing. Students are required to attend the family interview

DENBIGH BAPTIST CHRISTIAN SCHOOL Mission Statement The mission of Denbigh Baptist Christian School is to EDUCATE the mind, NURTURE the soul, and SHAPE the character of each student and staff member in a Christ-centered environment, based on the Truth of God s Word. ELC APPLICATION FOR ADMISSION 2014-2015 DBCS adheres to a policy of admitting students of any race, color, nationality, or ethnic origin to all rights, privileges, programs, and activities generally accorded, or made available to students at the school. DBCS does not discriminate on the basis of race, color, national, or ethnic origin in the administration of its educational, athletic, or any other policies or school-administered programs. However, DBCS reserves the right to refuse admission to, or dismiss, any student if they or their family profess, promote, or participate in a life-style that is contrary to the established teaching of Denbigh Baptist Church. Applicant s Name,, Male LAST NAME FIRST NAME MIDDLE NAME Female Address Grade Entering,, City State Zip Code Date of Birth / / Age Social Security # Father/Guardian Home # Work # Cell # E-Mail Place of Employment Mother/Guardian Home # Work # Cell # E-mail Place of Employment Parental Marital Status ~ Married Separated Divorced Single Name Relation Home Work Cell Name Relation Home Work Cell

Condition of student s health: Good Fair Poor Physical disabilities Name of the church you normally attend Names and grades of siblings attending DBCS How did you hear about DBCS? Please state why you want your child to attend DBCS WAIVER OF CONFIDENTIAL MATERIALS We understand that recommendations and evaluations obtained for the purpose of admission to Denbigh Baptist Christian School are confidential (excluding transcripts), and as parents (or legal guardians) we waive our right to them. To the best of our knowledge the information in this application is accurate. We also understand that misrepresentation might invalidate the application process or be grounds for dismissal after enrollment. Father/Guardian Signature Date Mother/Guardian Signature Date 1. Have there been discipline problems that required intervention beyond that of the classroom teacher? YES NO * 2. Has the applicant ever been suspended, expelled, or asked to withdraw from a school? YES NO *

3. Has the applicant ever been suspected of having a learning disability or attention challenges? YES NO * 4. Has the applicant ever been diagnosed with a learning disability or attention challenges? YES NO * 5. Has the applicant ever had an IEP, 504 Plan (including speech/language), or an Instruction Support Plan? If YES, a copy is required YES NO * 6. Has medication ever been recommended or prescribed for emotional, learning, or attention challenges? YES NO * 7. List below the name/s of any private practice counselor, psychiatrist, or clinical psychologist applicant has seen 8. Has the applicant ever attended a school or participated in a program designed for students who have special academic needs or abilities (including gifted, special education, tutoring, or therapy)? YES NO *

In making application for my child, it is my desire to have him/her complete the school year 2014-2015. It is also my understanding that the policy of the school is to make no refund on registration or testing fees. I give permission for my child to take part in all school activities, including sports and school sponsored trips away from the school premises, and I absolve the school from liability to me or my child because of injury to my child at school or during any school activity. I also give permission for emergency medical treatment, to be administered as deemed necessary by the attending medical per- sonnel, while the student is under the supervision of DBCS. This includes the school s sports program and all other school sponsored activities. I understand that DBCS occasionally enjoys using photographs of individual students (as well as the entire student body) in various newsletters, publication ads, brochures, bulletin boards, videos, school facebook page, and school websites.. I understand that if this is problematic for me, I will inform the office staff when submitting this application. I and my Middle/High School student have read and agree to support the school in following the policies stated in the Denbigh Baptist Christian School Handbook. If any questions or problems arise, I will bring them to the attention of the proper authority. Should I, or any member of my immediate family, reach a point of disagreement on an issue of a non-criminal nature with our Christian School and/or its legal corporate entity, in keeping with I Corinthians 6:1, I agree to submit to a board of conciliation, the members of which have been mutually selected by myself and officials of the school, rather than taking the dispute to a civil court. I agree that the procedure to be followed, including costs involved, would be that which has been established by the Association of Christian Conciliation Services. It is also my understanding that students are admitted for one year at a time, and that Denbigh Baptist Christian School reserves the right to dismiss a student at any time during the school year. Any student who persistently neglects work, who fails to meet academic standards, who exercises poor citizenship, or who fails to cooperate, may be asked to withdraw from the school. Specifics concerning academic, spiritual, and behavioral standards are detailed in the Student Handbook. Signature of Parent or Guardian Date

DENBIGH BAPTIST CHRISTIAN SCHOOL 13010 Mitchell Point Road, Newport News, VA 23602 School Office (757)249-2654 ~ Business Office (757) 947-1269 ~ Fax (757)249-9480 Name of Student (List Oldest Student First) Grade Tuition Less Discount (If Applicable) Net Tuition Please note that other fees may be due, depending on your PLEASE INDICATE YOUR PAYMENT PLAN BELOW: A. Annual Payment Pay full tuition in advance by August 1, 2014. When tuition is paid in full prior to August 1, 2014, a 2% discount will be applied. B. Semi-annual Semester Payments First semester tuition paid by August 1, 2014, will receive a 1% discount. Second semester tuition paid by January 1, 2015, will also receive a 1% discount. C. Ten Equal Payments Tuition may be paid in ten (10) equal monthly payments. The first payment is due August 1, 2014, with the final payment due May 1, 2015. Payments not received by the 15 of each month, or the first business day thereafter, will be charged a $50 late fee. D. Twelve Equal Payments Tuition may be paid in twelve (12) equal monthly payments. The first payment is due June 1, 2014, with the final payment due May 1, 2015. Payments not received by the 15 of each month, or the first business day thereafter, will be charged a $50 late fee. CONTINUED ON REVERSE SIDE

TUITION PREFERENCE CONTINUED DBCS accepts cash, check, and debit cards. DBCS also accepts Visa, MasterCard and Discover. Please note credit card payments will not be accepted over the telephone. A $35 fee will be charged for checks returned for insufficient funds. After two occurrences in a school year, only guaranteed funds (cashier s check, money order, cash or certified check) will be accepted for payment. At anytime during the school year, report cards and/or school records will be held until all outstanding and miscellaneous fees (lunch charges, library fines, sports fees, etc.) have been paid. If a student is withdrawn during the school year, tuition will be required through the month the student was enrolled at DBCS. For the school year 2014-2015, I agree to pay all tuition and fees according to one of the options above. Your statements will be emailed to the address given below: EMAIL ADDRESS Father/Guardian s Signature Mother/Guardian s Signature Father/Guardian s Printed Name Mother/Guardian s Printed Name Father/Guardian Mother/Guardian (or indicate same ) Street Address City State & Zip Home Phone Work Phone Cell Phone

HEALTH UPDATE 2014-2015 Student s Name,, DOB: Last First Middle Initial Address Father s Name Mother s Name Home # Work # Cell # Name Home # Work # Cell # Please list two emergency contacts: Home # Work # Cell # Name Home # Work # Cell # Current Medications: Medical Conditions: Preferred Hospital: NO YES EXPLANATION EARS Hearing difficulties........... Hearing Aid................. Chronic infections........... EYES Glasses..................... Contacts.................... HEART/LUNGS Asthma..................... Chest pains................. SPINE/NECK.................. BACK........................ SHOULDERS.................. Scoliosis.................... ARM - elbow, wrist, hand)..... LEG - Hip, knee, ankles, feet.... KIDNEY...................... SKIN......................... SPEECH....................... NO YES EXPLANATION ALLERGIES Asthma.................. Food/Drugs.............. Insect bites............... Other-be specific.......... ARTHRITIS................. CHICKEN POX.............. DIABETES.................. HEMOPHILIA............... HEPATITIS.................. HYPERTENSION............ HYPOGLYCEMIA........... MEASLES.................. MIGRAINES................ NOSE BLEEDS.............. SEIZURES.................. OTHER- BE SPECIFIC........ I HEREBY GIVE CONSENT FOR EMERGENCY MEDICAL TREATMENT TO BE RENDERED AS DEEMED NECESSARY. CONSENT INCLUDES EMERGENCY NEEDS DURING SCHOOL AND DURING ALL SCHOOL SPONSORED ACTIVITIES, INCLUDING THE ATHLETIC PROGRAM. ANY PHOTOCOPY OF THIS FORM CARRIES THE SAME AUTHORITY AS THE ORIGINAL. Parent/Guardian Signature Date