Download the ACS Application 2018 – 2019

Aggieland Country School

1500 Quail Run Road College Station, Texas 77845 (979) 696-1674
E-mail us at aggielandcountry@yahoo.com.

Child's Name *
Child's Name
Date of Admission *
Date of Admission
Birthdate *
Birthdate
Address *
Address
Phone Number 1 *
Phone Number 1
Phone Number 2
Phone Number 2
Persons authorized to pick up child from school:
I would like to register my child in the following class:
Early Childhood Class
Morning
Early Childhood Class
Afternoon
Elementary Class
Extended Hours
8:00 AM - 8:30 AM
Extended Hours
Lunch for Half Day Students
Extended Hours
3:30 PM - 5:30 PM
Please type signature and date.
Medical Information
If emergency medical treatment is necessary and I cannot be reached, I hereby give permission to Aggieland Country School to secure proper medical treatment. This may include, but not be limited to, hospitalization, surgery, ordering of injection, and anesthesia for the child named above.
Physician's Phone Number *
Physician's Phone Number
I give permission for my child to participate in water activities on Aggieland water days.
Date *
Date
The application and registration fees are required to reserve a place in the school. These fees are not refundable. A last month’s tuition is due by May 1, 2016. The pro-rated tuition for August is due before classes begin. Refunds of tuition payments require 30 days written notice by parents prior to a child’s withdrawal from school. The tuition is pro-rated. Tuition payments are not refundable for withdrawals effective after March 15, 2017.
*
Date *
Date