Application for Enrollment
in Christ Episcopal Church Day School
Child's Name
First Name
Middle Name
Last Name
Child's Preferred Name
Birth Date
Please select a month
January
February
March
April
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December
Month
Please select a day
1
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Day
Please select a year
2026
2025
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Year
Gender
Please Select
Male
Female
N/A
Address
Street Address
Street Address Line 2
City
State
Zip Code
Class Applying For (Note: All classes are offered 3 days a week)
NURSERY: 3-years old (M W F 9:15-12:15)
PRE-KINDERGARTEN - Morning: 4 years old (M W F 9:15-12:15)
PRE-KINDERGARTEN - Full Day: 4 years old (M W F 9:15-3:15)
Child's Previous School Experience, If Any
Father's Name
First Name
Last Name
Father's Address
Same as child's
Other address
Father's Address
Street Address
Street Address Line 2
City
State
Zip Code
Father's Cell or Home Phone Number
Please enter a valid phone number.
Father's Email
example@example.com
Father's Occupation
Father's Employer
Father's Business Phone Number
Please enter a valid phone number.
Mother's Name
First Name
Last Name
Mother's Address
Same as child's
Other address
Mother's Address
Street Address
Street Address Line 2
City
State
Zip Code
Mother's Cell or Home Phone Number
Please enter a valid phone number.
Mother's Email
example@example.com
Mother's Occupation
Mother's Employer
Mother's Business Phone Number
Please enter a valid phone number.
We offer Priority Registration if: (Check all that apply)
Child is a current student at CECDS
Child is the sibling of a current student of CECDS
Child’s parent is a member of Christ Church Parish, Kent Island
Child has a parent or sibling who has attended CECDS in the past
Siblings
HEALTH INFORMATION
The State Board and the Maryland State Medical Society, the Department of Health and Mental Hygiene require that children be up-to-date on their immunizations to attend school or childcare. To find out current immunization requirements, or if you have any questions about immunizations, please contact your child's doctor. Please be aware that children will not be allowed to attend school until we have received a complete and up-to-date immunization record signed by your child’s physician.
Is there a history of Diabetes, Rheumatic Fever, Epilepsy, Allergy, or any physical impairment (glasses, hearing aid, etc.) that may necessitate your child being given special attention?
Yes
No
Does your child have any special needs?
Yes
No
Does your child have an IEP?
Yes
No
Additional Comments Regarding Child's Health
Why did you choose Christ Episcopal Church Day School for your child?
How did you learn about CECDS?
I have read and understand the above Tuition Statement and Agreement, a copy of which will be provided with the completed application.
*
Yes
Sender's Email (Required - to receive confirmation)
*
example@example.com
To complete this application, please sign by typing your name below, submit the $150 non-refundable application fee, (either online by responding Yes to the next question or by mailing a check to CECDS, PO Box 141, Stevensville, MD 21666) and click Submit Application. Your child's application is not complete until we receive BOTH the completed form and the application fee.
Would you like to pay the application fee now by credit card?
Yes
No
Credit Card Payment of Application Fee
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Application Fee
Application fee for CECDS
$
150.00
Credit Card
Christ Episcopal Church Day School admits students of any race, religion, or national or ethnic origin and does not discriminate in the administration of its educational policies, admission policies, or other school-administered programs.
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