Headwaters Registration

Welcome to our online registration!

Directions for registering your child for Headwaters Educational Enrichment & Headwaters HUB

1.  Read all the documentenation in the links below.  You will be required to confirm that you have read and will comply with the information in the Parent-Child Handbook.

2.  Fill out all required information in the registration form below. You application will not submit if all required fields are not completed.  You will see a confirmation screen if your form submitted successfully.   Please include any and all information in detail. These forms are the first step towards ensuring that your child's records are accurate,

3.  After submitting this form there are a couple of steps that still have to take place.

  • Registration Fee will need to be paid.  Registration is not guaranteed until you have submitted your $150 registration fee (per family). You will be notified of the enrollment status by email.

    • -- Registration fees will be refunded if your application is not approved.  In the event you are placed on a wait list, we will retain your registration fee to hold your place on the list.

    • -- Registration fees can be mailed to our church office at 2659 S Chipley Ford Rd.  Please make checks are payable to South River Baptist Church with Headwaters Registration Fee in the memo field.  If you would prefer to pay via checking account, debit or credit card you can use this link > https://onrealm.org/headwaters/give/regfee

  • We will review your application

  • We will check for availability in your child's grade level.  If full, you may be put on a waiting list. Enrollments are based on a first-come, first-serve basis.

4.  Your child/children will be registered and a Welcome email will be sent with next steps.   If your child cannot be registered, the office will contact you in order to notify you of our decision and the reasons why we have denied registration.

5.  If you have any questions, please contact our church office at 704-876-1520. We look forward to enriching your child’s education this year!

  • STUDENT INFORMATION:

  • Note: Pre-K must be at least 4 by 8/17/20.
  • Note: HUB is designed for 3 or 5 day virtual learners continuing their enrollment in ISS or ARS schools. 1st-5th will be a per day cost and 6th-12th will be a flat fee per week. Please see Parent-Child handbook for details.
  • After-school program is for K-8th grades and will run from 3p-6p Mon to Fri. It will be an additional $50 per week for each child enrolled regardless of how many days they attend.
  • Your Lump Sum or Monthly Payment will be calculated base on selection.
  • EMERGENCY CONTACT INFORMATION:

  • FAMILY INFORMATION:

  • PREVIOUS SCHOOL INFORMATION

  • If child was previously in homeschool please list the name of your homeschool. For children that are going into Pre-K or K please list name and address of daycare instead of school, if applicable. If no previous school please put NA.
  • Daycare or homeschool address if applicable
  • Agreement with Fees and Policies

    Links to documents and handbooks where applicable, are included at the top of this form.
  • Fee due with submission of this form (see details at the top of this form for payment options.) Registration is not complete until $150 fee is submitted. ----------------- This registration fee includes one end of year test for one child, if the family has additional students enrolled there will be a $35 fee for each additional child. Testing is only for children in the Educational Enrichment Program.
  • Fee due upon application approval
  • Lump sum fee and 1st monthly installment is due before first day attending. The Educational Enrichment Program is a 10 month commitment and the HUB & After School Program is a minimum of 5 month commitment (Aug-Dec and/or Jan-May)
  • Form must be submitted prior to attending
  • Date Format: MM slash DD slash YYYY