2800 Louisiana Blvd NE
Albuquerque, NM 87110
Ph. 505-888-4156
Fax. 505-888-1756
  

Monday through Thursday
Doors open 7:30 AM
School starts 8:00 AM
Dismissal 3:25 PM

Extended Care
4:00 until 5:30 PM








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Dear Friend:

The Christian Heritage Academy has been established to meet the educational needs of children in a Christ-centered environment, with dedicated Christian teachers in a spiritual academic atmosphere. Our school uses the Accelerated Christian Education program, which is based on a Biblical Philosophy, individually prescribed, self-instructional curriculum, and an advanced system of motivated learning.


Why we feel our school is different:


IT'S PROGRESSIVE: The newest relevant proven methods are utilized and are being further developed.


IT'S PRACTICAL: The teacher's task is to assist the student in discovering his talent, guide him in the development of it, and motivate him in the fullest use of it.


IT'S FUNCTIONAL: The classroom procedure trains the student to be creative, faithful, and thorough.


IT'S SENSIBLE: The school gives the student a plan for direction, things to see, hear, and do, and it assists him in his quest for learning.


IT'S FUNDAMENTAL: God's Word is a measure of every standard, each experience, and the ultimate results.


Our enrollment is limited in all grades: K4 through the 12th grade. A $25.00 one-time non-refundable fee will be required to process the registration paper work. An interview with parents, child, and administrator will be required before final acceptance. Registration fees are also non- refundable and they are $75.00 per student. No student will be accepted without interviewing with the principal, teacher, and secretary, paying the fees, and completing the admissions packet for our records. Call with any questions you may have. Our school office hours are 8:00 a.m. to 4:00 p.m. Monday through Thursday and can be reached at (505) 888-4156.


Sincerely,
Clyde M. Gilman

Administrator



PARTICIPANT/PARENT/GUARDIAN WAIVER AND INDEMNITY AGREEMENT

CHRISTIAN HERITAGE ACADEMY

2800 LOUISIANA N.E.

ALBUQUERQUE, N.M. 87110

(505) 888-4156


I, the parent or guardian of , gives permission for him/her to participate in school-sponsored activities at and away from Christian Heritage Academy. I will inform the school by written request should I choose to keep my child from any activity or trip.


I agree that my child may make spiritual decisions at school as a result of the biblical influence of this Baptist school. I am aware that they will be taught doctrines that are Baptist in nature.


I authorize the representative of the school complete medical guardianship of my child in case of an accident or emergency. The representative of Christian Heritage Academy is authorized to have treated and given medical attention that is needed for the well being of my child. The family doctor is . Phone number: . The recommended hospital is ; otherwise, I give authority for the representative to make the choice of doctor and hospital.


I hereby for myself, my heirs, executors, and administrators waive and release Christian Heritage Academy and any representatives, employees, agents, successors of the school from any liability or responsibility for injuries, damages or expenses that may occur to my child arising from any school activity and I agree to indemnify and save harmless Christian Heritage Academy and any representative of the school against any such claim for injuries, damages or expenses made by or on behalf of my child.


The above agreement is to be in effect for the school year beginning August 1, 2014 and ending July 1, 2015.


Father's Signature:
 
Address:
 
Phone:
 
Employer:
 
Date:
 
   
    
Mother’s Signature:
 
Address:
 
Phone:
 
Employer:
 
Date:
 
   
    
Student's DOB:
 
Age:
 
Grade (2014 - 2015 Academic Year):
 
    
Do you carry health insurance on the student?    Yes    No
    
Name of Insurance Company:
 
Policy#:
 
  
    
Does the student have any physical problems of a medical nature or allergies to medicines?    Yes    No
    
If so, explain:
 
    
Please list two people other than parents to be contacted in case of emergency.
    
Name:
 
Relationship:  Phone:
 
Work Phone:
 
Name:
 
Relationship:  Phone:
 
Work Phone:
    
    
    
STUDENT INFORMATION
 
Name (Last):

(First):

(Middle):

 
Address:

City/State:

ZIP:

Phone:

Birth Date:

Social Security Number:

Age:

Sex:    M    F
Grade Entering:

School Last Attended:

Address:

City, State, ZIP:

    
    
    
FAMILY INFORMATION
 
Father's Name:

Father's Employment:

Position:

Business Ph. #:

Father's Mobile:

Pager:

  
    
Mother's Name:

Mother's Employment:

Position:

Business Ph. #:

Mother's Mobile:

Pager:

  
    
Marital Status:    Married    Living Together    Divorced    Separated    Widow    Widower
    
Children in family of school age if not applying:
Name:

Age:

  
Name:

Age:

  
Name:

Age:

  
    
Reason they are not coming:

 
    
RELIGIOUS INFORMATION
 
Church Attended:

Address:

Pastor:

 
    
Father: Are you a Christian?    Yes    No
Mother: Are you a Christian?    Yes    No
Has applicant ever made a profession of faith in Christ?    Yes    No
    
    
    
MEDICAL INFORMATION
 
Family Physician:

Telephone:

  
    
Does child have any physical defects or allergies?    Yes    No
If yes, explain:

    
Has child received immunizations?    Yes    No
    
    
    
SCHOLASTIC INFORMATION
    
Has child ever been expelled, dismissed, suspended or refused admission to another school?    Yes    No
If yes, explain:

    

Has child ever had disciplinary difficulties?    Yes    No

If yes, explain:

    

Has child ever been in trouble with the law, etc.?    Yes    No

If yes, explain:

    

Has child ever used tobacco or drugs?    Yes    No

If yes, explain:

    

Please indicate academic level of pupil's previous work:    Excellent    Good    Average    Poor

    

Has child ever failed in school?    Yes    No

If yes, explain:

    
    
    
GENERAL INFORMATION
    

How did you hear about this school?


    
    
    
AGREEMENT
    

I have read the handbook and admission packet and agree to insist that my child submit to the program, academic and disciplinary regulations and all other requirements instituted by the Administration and carried out by the Administrator and Faculty. I will completely support the school and its staff. I will not complain or in any other way rebel against the policies of Christian Heritage Academy. I am aware that I must abide by this agreement to retain my child’s privileges at this school.

    
Signature of Mother:
Date:
  
Signature of Father:
Date:
  
    
    
    

CHRISTIAN HERITAGE ACADEMY STANDARD OF CONDUCT

    
Student Name:

Date:

  

The student's attitudes, conversation, behavior, and dress reflect the character of the institution from which he/she derives his/her training, both home and church. This form reflects the church's attempts to secure students who would best adjust to the rigor of a highly disciplined training program that must set high standards in obedience to God's Word.

    
Are you a Christian?    Yes    No  
At what age were you saved?
 
Do you attend public worship services regularly?    Yes    No
Where?
   

Do you accept the Bible as God's Word and submit yourself to its principles as the final authority?    Yes    No

Do you smoke?    Yes    No  

Do you drink alcoholic beverages?    Yes    No

  
Do you dance?    Yes    No  

Do you use narcotics (dope, pills, marijuana, etc.) of any kind?    Yes    No

 
Do you attend movies?    Yes    No  

Have you ever run away from home?   Yes    No

  
If so, how long ago?

  

Do you listen to rock music?    Yes    No

  

Will you honestly agree to keep all the rules in good spirit and respect authority without being critical and finding fault?    Yes    No

Do you really want to attend Christian Heritage Academy's daily training program?    Yes    No

Why?

 
    
    
    

STUDENT'S PLEDGE OF GENERAL POLICY

    

Students are expected to abide by these standards of conduct throughout their enrollment whether at home, school, or elsewhere. Students found to be out of harmony with this school's ideals of work and life may be invited to withdraw whenever the administrator determines it is necessary. As a student of this Christian school, I pledge to uphold the school's standards against rap, rock music, country music, Christian rap & rock, cheating, swearing, smoking, gambling, drinking alcoholic beverages, using or talking favorably about narcotics, or using indecent language, and will act in a very orderly and respectful manner. I will maintain Christian standards in courtesy, kindness, morality, and honesty. I will strive to be of unquestionable character in dress, conduct, and other areas of life. I agree to abide by the above standards of conduct and other regulations expected of each student enrolled in this school while I am a student attending the school, and will not give the impression to students, parents or faculty that I am not in harmony with the goals, aims, and standards of the Christian school.

    
Student's Signature:

Date:

  
Mother's Signature:

Date:

  
Father's Signature:

Date:  
    
    
    
CHRISTIAN HERITAGE ACADEMY MEDICAL RECORD / RELEASE
 
Student's Name:

Birth Date:

Sex:    M    F
Phone Number:

Address:

City, State, ZIP

  
    
Father's Name:

Business Name:

Work Phone:

 
    
Mother's Name:

Business Name:

Work Phone:

 
    
In case of emergency, call:  
First ChoiceName:

Phone:

 
Second ChoiceName:

Phone:

 
Third ChoiceName:

Phone:

 
    

Please list any present or on-going medical conditions your child has: (i.e. heart ailments, diabetes, allergies, convulsions, etc.)


    

Please list any medications for which your child has an allergy :


    

Please list any medications that your child is now taking:


    

Does your child need to wear a Medic-Alert Tag for a special medical condition?    Yes    No

If yes, please explain:

    

Please list preference for a doctor

Name:

Phone:

Please list preference for a hospital

Name:

Phone:

    

I, the parent/guardian of give medical release and permission to Christian Heritage Academy for securing emergency medical care by qualified medical personnel for my child.

    
Father's Signature:

Date:

  
Mother's Signature:

Date:  
    
    
    
DISCIPLINE FORM
    

DISCIPLINE:


Some children do not adjust to a disciplined academic environment and find excuses to criticize the policies and decisions of staff and administration. In such cases, the school reserves the right to have full discretion in the discipline with corporal punishment administered by the student’s parents in the administrator’s office. If considered appropriate, we may place such students on probation for a reasonable corrective time-period, and we may dismiss any student who does not cooperate with the total educational process.

    
    

PARENT PLEDGE:


I recognize that Christian Heritage Academy has a highly qualified trained staff and I have confidence in their ability to perform the educational function due my child.


I realize that from time to time children take issue with actions that they do not agree with and that they are prone to criticize statements out of context. This being normal for children; I pledge that should such occur, I will not support the criticism, that I will correct my child, support the school personnel, and call in for full details at any time I have a question concerning an incident.


I further realize that building strong relations with my child's supervisor to aid in the training of my child is as much my responsibility as it is the school's, and that I will pray for the staff and program, cooperate with them in discipline accepting their judgment in such matters, lay a spiritual foundation through Godly example in the home, support the spiritual training of chapel, revivals, etc., follow through with any work assignments or slips to be signed, see that the children reach school on time, phone or send written excuses for absence or tardiness, cooperate in training the children to respect school property and pay for irregular abuse of the same, attend all parent functions, and assist in publicizing the school and its programs among friends.


I realize that attending the Christian Heritage Academy is a privilege and not a right. It is my intention to abide by the decisions and support the discipline of the administration.

    
Father's Signature:

Date:

  
Mother's Signature:

Date:

  
    
    
    
FINANCIAL INFORMATION
   

    I.   REGISTRATION

               1.  Grades K4 through 12th                      $75.00 (Includes all testing fees – ANNUALLY per STUDENT)
               2.  A student is not considered enrolled until the registration fee has been paid.
               3.  Grades K4 through 12th                      $25.00 (One time application fee per family)
               4.  The application and registration fees are not refundable.
    II.  TUITION FOR MEMBERS OF BELLA VISTA BAPTIST CHURCH WHO TITHE REGULARLY AND GIVE TO MISSIONS.

        9 Month Payment Plan

               A. All day K4 - 12th ($2,160.00 per yr)      $240.00

               B. Second student ($2,115.00 per yr)       $235.00

               C. Third student ($2,070.00 per yr)          $230.00

               D. Extended Care, per hour                          $3.00
                  ($5.00 per 15 minutes after 5:30 pm.)

        10 Month Payment Plan

               A. All day K4 - 12th ($2,160.00 per yr)      $216.00

               B. Second student ($2,115.00 per yr)       $211.50

               C. Third student ($2,070.00 per yr)          $207.00

    III. No Pace Fee unless over 60 Paces are used per year, then $3.30 per Pace. This does not include pace failure
         or the student losing this pace.

    IV. TUITION FOR NON-MEMBERS
         9 Month Payment Plan

              A. All day K4 - 12th ($2,205.00 per yr)       $245.00

              B. Second student ($2,160.00 per yr)        $240.00

              C. Third student ($2,115.00 per yr)           $235.00

              D. Extended Care, per hour                          $3.00

                  $5.00 per 15 minutes after 5:30 p.m.

       10 Month Payment Plan

             A. All day K4 - 12th ($2,205.00 per yr)       $220.50

             B. Second student ($2,160.00 per yr)        $216.00

             C. Third student ($2,115.00 per yr)           $211.50

  1. No Pace Fee unless over 60 Pace's are used per year, then $3.30 per Pace.

  2. Students attending one or more days in a month will owe for the entire month.

  3. A 10% discount will be given if yearly tuition is paid in full by the first day of school.

  4. All accounts are due on or before the 1st of each month. A $15.00 late fee will be charged on all accounts not paid by the 5th of each month and the child will not be allowed to return to school until the account has been taken care of or arrangements have been made with the administrator.

  5. A $15.00 fee will be charged on all returned checks, as well as, the late fee.

  6. I agree to pay the stated charges for educational purposes, according to this agreement and further understand if I am paying by the month, the first payment is due on or before the first day of school, unless you're on the 10-month plan then payments start on or before August 1st, and the last payment being paid by May 1st; with the exception of May’s Extended Care, which will be due by the last day of school.

  7. Additional Fees

          A.   Stanford 10 Assessment Testing Fees of $35.00 per student, 4th – 11th grade, will be charged to the April
                Invoice. This is the only standardized test we require.
              B.   Graduation fees $40.00.
                C.   Preliminary SAT test for 10th & 11th graders $15.00.
                D.   P.E. shirts are $8.00 each.
                E.   Girls purchase P.E. culottes, $35.00 each, to set up appointment to be fitted. (call office at 888-4156)
                F.   Year book fee $2.00 per month per student or family – added onto the monthly bill (Yearbooks published
                      the end of April)
                G.   K5 Graduation Tassel $9.00 each.
                H.  Extra Pace Fees of $9.25 are charged if a Pace is failed twice or in the event of scoring violations.

          
      Father's Signature:

      Date:

        
      Mother's Signature:

      Date: