Fill in following information.
CONTACT INFORMATION:
Parent Name: Last Name:
Address:
City: State: Zip:
Email: Phone:
How did you hear about us? Choose One Church Homeschool Group Friend Family Radio Mailing Newspaper Ad Other Family Church Affiliation: Attend Church Locally Looking for Church Family Do Not Attend Choose One
If you attend church locally, where: Pastor's Name:
STUDENT INFORMATION:
Student's Name: Age: Enrolling for Grade:
Child Resides with: Choose One Both Parents Mother Father Guardian
School last attended (if applicable): City, State:
If applicable, please list any academic difficulties or achievements your child has had here (include sports)
PARENTAL INVOLVEMENT:
What special skills, talents, gifts or business expertise do you have that you are willing to share with Acadia Christian School?
