Student Information
Name *
Name
Birthday *
Birthday
Parent/Guardian #1 Information
Name *
Name
Address *
Address
Home/Cell Phone *
Home/Cell Phone
Work Phone *
Work Phone
Parent/Guardian #2 Information
Does this person have the same Address? *
Address
Address
Home/Cell Phone *
Home/Cell Phone
Work Phone
Work Phone
Other Contacts
Student's Scholastic Information
School Address *
School Address
Type NA if this does not apply
Type NA, if this does not apply to your child
Discipline Information
Type NA if this does not apply to your child
Type NA if this does not apply to your child.
Type NA if this does not apply to your child.
Christian Information
Church Address
Church Address
Parent or Guardian Signatures
THE INFORMATION ON THIS APPLICATION IS FACTUAL AND ACCURATE TO THE BEST OF MY KNOWLEDGE, AS A PARENT/GUARDIAN, I AGREE TO SUPPORT THE SCHOOL’S STANDARD OF CONDUCT AND OTHER REGULATIONS CONCERNING STUDENTS WHILE MY CHILD IS IN SUMMIT CHRISTIAN ACADEMY. I ALSO AGREE TO PAY MY CHILD’S TUTITION IN A TIMELY MANNER.
eSigned Date *
eSigned Date