RE-REGISTRATION FORM
(One per child, please)

1. All re-registration forms must be accompanied by a $150.00 registration fee. This is a
$150.00 fee per family and is non-refundable. Failure to send in payment may result in
losing the spot to another student should the class become full.

2. Transportation request forms are enclosed (if available) and are to be filled out if applicable.
Transportation requests must be received by the districts by April 1st to ensure
transportation for the 2021-2022 school year. Don’t be late! Transportation forms sent
in to the HCS office will be sent to the districts on March 22nd.

3. All present families will be accepted first (if registered by February 24). Registration will
then be opened up to outside families. Please be aware that there is a limit of 20 students in
Kindergarten and 1st grade, a limit of 22 students in 2nd-5th grade, and a limit of 25 students
per middle/high class. ***class sizes may be reduced due to COVID-19 guidelines***.
To hold a space for your child, forms must be returned promptly and
accompanied by fees. Students registering for classes already full will be placed on a
waiting list.

4. If you do not plan to send your child to Harmony Christian School next year, please send in
this form indicating this and please state your reasons.

5. In order to ensure staffing for our extended daycare program it is important that you
indicate your interest by checking the appropriate space at the bottom of this form.

6. If you have any questions, please feel free to contact us at 845-692-5353. If you are unsure as
to whether or not your child(ren) will be attending you should consider sending in
transportation requests by April 1st so transportation will be reserved in case it’s needed.

Thank you for your cooperation.

Please select the desired response:

I wish to re-register my child(ren) for the 2021-2022 school year at Harmony Christian School.I do not wish to re-register my child(ren) for the 2021-2022 school year at Harmony Christian School.I am undecided regarding my child(ren) attending Harmony Christian School for the 2021-2022 school year. Please send my transportation forms to the district so transportation is covered until the decision is made. I am aware that by checking this line my child(ren) will be added to the end of the list for the class and could lose their spot if the class becomes full.




RETURNING/UNDECIDED STUDENTS:
If your child(ren) will be returning or undecided, please list their name(s) (also if they are K3 and K4 students, please indicate full or half days) (example: Charlie - K3 Half Day):


NON-RETURNING STUDENTS:
If your child(ren) will not be returning, please list their name(s):
Please let us know why you have decided not to re-enroll your child(ren):


Additional Needs:
I am interested in possibly enrolling my child(ren) in the extended daycare program: YesNo


Today's Date: