Grades 1-5 Application

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Additional Parent/Guardian Information
Please complete if child has more than one parent or guardian.
Name
First Last
Relationship to Applicant
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Phone
Email
Occupation
Employer
Work Phone

Child lives with:*
Parents are:*
- married
- separated
- divorced
- other
Other persons living in the home with the applicant
Include siblings and extended family members. (Click plus icon to add additional lines.)
Name Age Sex Relationship

How would you describe your child?
Tell us about your child’s characteristics, traits, personality, and level of maturity so we have a clear picture of how you view him or her.
What opportunities has your child had for interacting with other children outside of school?
Describe his or her involvement in any organized lessons, programs, sports, etc.
Waimea Country School expects parents to take an active role in their child’s education. How do you see your role in the educational process?

What is it about your child that will make Waimea Country School a good environment for his or her growth and development?
Are there any physical, emotional, or developmental issues that might affect your child’s performance at Waimea Country School?
If yes, please explain.
What other information would be helpful to us in evaluating your child’s candidacy for admission to Waimea Country School?

How did you hear about Waimea Country School?
Check all that apply.
- Word of mouth in the community
- Saw a banner up at the school/drove by the campus/in town
- Found the WCS website with an internet search
- Social Media (Facebook, Instagram, Twitter)
- Saw a print ad (newspaper, program brochure, flyer)
- Recommended by a current WCS parent
- Other
Please share the current WCS parent who referred you so we can thank them.
First Last
If "Other", please share:
I hereby apply for admission to Waimea Country School for my child. I affirm that all the information included in this application is accurate to the best of my knowledge.
Date
Date Format: MM slash DD slash YYYY
Signature
Submission of this form indicates serious parental interest but does not guarantee a child’s placement in the school. Application files must be complete before enrollment is considered. In addition to this application and supporting documents, an in-person assessment is conducted to ensure that the child and the school are a good fit.