Student Application

Enrollment Form

In the following pages you will find the Student Enrollment Application, Statement of Faith, Enrollment Policies, Admissions Procedures, and Health History Form.

Download PDF
Enrollment Form

Student's Legal Name

Previous School Attended (if applicable):

Applicant's Siblings (if applicable):

Parents/Guardian Information

Father/Guardian 1:

Mother/Guardian 2:

Parents/Guardians are:

I (We) understand that should our address, marital status and/or custody arrangements change, it is my (our)
responsibility to notify the school and to have any necessary documents updated with the Legacy Christian offices in a
timely manner.

Father/Guardian 1 Initials

Mother/Guardian 2 Initials

If your student is not living with both parents, please answer the following questions.

Statement of Faith

1. The Bible
We believe the Bible to be the inspired, the only infallible, authoritative, inerrant Word of God, and the final authority in faith and life. (2 Timothy 3:16-17, 2 Peter 1:20-21)

2. The Trinity
We believe in One God, Creator and Redeemer, eternally existent in three persons- Father, Son, and Holy Spirit. (Genesis 1:1, Matthew 28:19, John 10:30)

3. Christ Jesus
We believe in the deity of Christ (John 10:33), His virgin birth (Isaiah 7:14, Matthew 1:23, Luke 1:35), His sinless life (Hebrews 4: 15, 7:26), His miracles (John 2:11), His vicarious and atoning death (1 Corinthians 15:3, Ephesians 1:7,Hebrews 2:9), His Resurrection (John 11:25, 1 Corinthians 15:4), His Ascension to the right hand of God (Mark 16:19), His personal return in power and glory (Acts 1:11, Revelation 19:11)

4. Salvation
We believe that the Lord Jesus Christ died as a representative and substitutionary atonement, fully justifying all those that repent of their sins and put their faith in Him. By God’s grace we are saved by faith alone. We believe believers have the presence of the Holy Spirit indwelling in them enabling them to live a Godly life. (John 1:12-13, 3:16; Ephesians 1:7, 2:8-10, 4:30; Romans 3:23, 8:13-14, 10:9-10; 1 Corinthians 3:16)

5. Eternal State
We believe in the resurrection of both the saved and the lost; that they are saved unto the resurrection of life (Heaven), and that they are lost unto the resurrection of condemnation (Hell). (John 5:28-29)

6. The Body
We believe in spiritual unity of believers in our Lord Jesus Christ. (Romans 8:9; 1 Corinthians 2:12-13; Galatians 3:26-28)

7. Gender, Marriage & Sexuality
We believe that God has established marriage as a lifelong, exclusive relationship between one man and one woman and that all intimate sexual activity outside the marriage relationship whether heterosexual, homosexual, or otherwise, is against God’s design and therefore sin. (Genesis 2:20-24; Matthew 19:4-6; Romans 1:18-31; 1 Corinthians 6:9-10, 15-20; Jude 1:7) We believe that God created the human race male and female and that all conduct with the intent to adopt a gender other than one’s birth gender is against God’s design and therefore sin. (Genesis 1:27; Deuteronomy 22:5)

8. Creation
We believe that God created the heavens, the earth and everything in them. (Genesis 1)

Father/Guardian 1: I have read Legacy Christian School’s Statement of Faith and I am willing to have my child
taught in accordance with it. In addition, I pledge my cooperation with LCS in encouraging my child to follow these
teachings.

Mother/Guardian 2: I have read Legacy Christian School’s Statement of Faith and I am willing to have my child
taught in accordance with it. In addition, I pledge my cooperation with LCS in encouraging my child to follow these
teachings.

Enrollment Policies

Phelps County Christian, Inc. d/b/a Legacy Christian School admits students of any race, color, national and ethnic origin to all the rights, privileges, programs, and activities generally accorded or made available to students at the school. It doesn't discriminate on the basis of race, color, national and ethnic origin in administration of its educational policies, admissions policies, scholarship and loan programs, and athletic and other school administered programs.
Parents/guardians are required to sign all areas of the student application, including all consent and release forms.

 Parents have the ultimate responsibility for the decision regarding where their children should attend school.

 Each student should have a genuine desire (cooperative spirit) to attend.

 Each transferring student must be in good standing academically and behaviorally at their present school.

 Each family is expected to be in harmony with and supportive of the school’s position and spiritual goals.

 Each family is to understand their child will be taught according to the school’s Statement of Faith.

 Pre-Kindergarten students must be at least 3 years old (and potty trained) on or before July 31st.

 Kindergarten students must be at least 5 years old on or before July 31st.

 First grade students must be at least 6 years old on or before July 31st.

 A waiting list is established for qualified students after all openings are filled; you will be notified if placed on the waiting list.

 All new students (transferring mid-year) are put on a one quarter probationary period.

 Legacy Christian may be unable to adequately serve students with:

o An extremely low academic performance as indicated by achievement testing.
o A failed most recent grade level prior to application.
o Significant emotional or disciplinary problems at current school.
o A police, court or criminal record.
o A physical disability which would impair the learning process under normal educational conditions.
o A learning disability for which our school is not staffed.

Admissions Procedures

For each student applying, the following will be required:

 Completed Student Application Form

 $50 non-refundable Application Fee

 Copy of birth certificate

 Student immunization record and health history form

(State law requires a physical examination for children entering Kindergarten, and all students transferring from out of state. All students must be immunized as specifically required by Nebraska law or have a notarized exemption on file. No student will be allowed in school if all state health requirements are not satisfied).

 Parent/guardian in person review with school representatives

(Prior to formal enrollment, an admission interview will be required for first-time applicants. Parents/guardians will meet with school representatives for this interview.)

 Student transcripts and records from previous school

 Students may be tested prior to placement

Once a student is accepted to Legacy Christian School, families will receive a letter of acceptance.

Health History Form

Allergy Statement

If yes, a written note from student’s physician stating
specific instructions for Legacy Christian is required.

Conditions/Concerns

Any medication taken at school must be in an original, correctly labeled container from the pharmacist with the child's name on the label, pharmacy name, physician's name, name of medication, dosage and time it is to be administered. Your doctor must also send a signed form to the school.

Parents/Guardians Information – Emergency Contact Information

Parent/Guardian to Contact 1st

Parent/Guardian to Contact 2nd

If parent/guardian is unable to be contacted, please list at least two local emergency contact persons.

In Case of an Emergency

I(We), as parent(s) or guardian(s) of the student named at above, give my (our) permission to take my (our) child to the hospital emergency room or doctor's office in the case of an emergency in the event I(we) am(are) not available. I(We) understand that all efforts will be made to contact a parent, guardian, or emergency contact before a school representative takes the student to the emergency room or to a physician's office unless it is an emergency situation.