Student Registration

Registration

To register for the 2026-2027 school year,

Fill out the registration forms below
Submit payment (spots are NOT reserved until payment is received – you may pay online, or with cash/check to the office)

Financial scholarships are available. Please contact the office if you would like more information.

Type of Application

What is the last school attended?

Student Name

Gender

Birthdate

Grade Entering

What is your home school district?

Enrollment Type

Do you have more than 1 student to enroll?

Student #2 Name

Student #2 Gender

Student #2 Birthdate

Student #2 Grade Entering

Enrollment Type

Student #3 Name

Student #3 Gender

Student #3 Birthdate

Student #3 Grade Entering

Enrollment Type

Does your child have an IEP or receive Special Education services?Student #1

Does your child have an IEP or receive Special Education services?Student #2

Does your child have an IEP or receive Special Education services?Student #3

Street Address

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

If separated or divorced, with whom does the student reside?

Father/Guardian Information

Name

Relationship to Student

Phone

Street Address

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Country

Email Address

Marital Status

Employer

Name & City of church you attend

Name of Pastor

Mother/Guardian Information

Name

Phone

Address is the same as FATHER

Email Address

Marital Status

Employer

Church Information is the same as FATHER

Street Address

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Country

Name & City of church you attend (if applicable)

Name of Pastor

Other Student Information

Allergies/Medical ConditionsStudent #1

Allergies/Medical ConditionsStudent #2

Allergies/Medical ConditionsStudent #3

Doctor's NameStudent #1

Doctor's NameStudent #2

Doctor's NameStudent #3

Physician | Phone

Hospital Preference

Dentist

Insurance Company | Policy Number

List any known allergies, food restrictions, physical, emotional, or behavioral disorders

List any known allergies, food restrictions, physical, emotional, or behavioral disordersStudent #2

List any known allergies, food restrictions, physical, emotional, or behavioral disordersStudent #3

List all regularly administered medication

List all regularly administered medicationStudent #2

List all regularly administered medicationStudent #3

Emergency Contacts

Name | Relationship | Phone number

Please Read Carefully

Select YES if you agree

Should my child not respond favorably to the school for any reason, I will not try to change the school to fit my needs, but agree to quietly withdraw.

VisionWay Christian School reserves the right of dismissal of any student who persistently and willfully neglects his academic work, exercises poor citizenship, reflects adversely on the Christian principles of the school, or is engaged in behavior or lifestyle inconsistent with Biblical guidelines as prescribed by VisionWay Christian School. I understand my or my child's failure to comply with school policies will result in my child's dismissal.

I agree to make every effort to attend scheduled Parent-Teacher Conferences.

The school will not administer over-the-counter medications or prescription drugs to students without a parent's signature on the medication permission slip (available in the school office). All medications must be in original container with child's name and directions for administering drug clearly labeled. In the event of a medical emergency, I give permission for my child to receive first aid from a school employee and/or treatment as required by a physician.

VisionWay has full discretion in the grade placement and promotion of my child.

Promotional advertisements are used by VisionWay Christian School. I understand and agree that my child may be used for such advertisements and that VisionWay Christian School is released from all liabilities.

Release of Personal Contact Information

I give consent to give out my phone number, email, and address to other VCS parents.

Tuition Contract

Plan I - Full Payment | Plan II - 2 Payments Plan | Plan III - 10 Payments Plan

Choose Payment Plan Option *

Choose Family Engagement Method *

Type of Payment for Registration Fee *3 Year Old Preschool: $100 | 4 Year Old Preschool: $200 | K-6th: $350

Insert Name & Date *Type your full name and date below to serve as your official electronic signature.

217-824-6722

1124 N Webster Street, Taylorville, IL 62568

office@visionwayschool.org

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Student Registration

Registration

Father/Guardian Information

Mother/Guardian Information

Other Student Information

Emergency Contacts

Please Read Carefully

Select YES if you agree

Release of Personal Contact Information

Tuition Contract

Plan I - Full Payment | Plan II - 2 Payments Plan | Plan III - 10 Payments Plan

217-824-6722

quick links

parent/students