HopeChristAcadApp

Family Name*
Last Name
HOPE Christian Academy Online Application

Currently enrolling for the both the 2022-23 School Year and the 2023-24 School Year
School Year (Aug. 1-July 31) Not Prorated*

2023-24See "Additional Notes" Field2022-23
Primary Educator*

First NameLast Name
Other Parent/Guardian*

First NameLast Name
Telephone Number*
Physical Address*

Street Address (NO Post Office Boxes)

Street Address Line 2

CityState

Zip Code
E-mail*
Student 1 Name*

First NameLast Name
Student 1 Birthdate*

MonthDayYear
Student 1 Grade*
Kinder=0
Student 2 Name

First NameLast Name
Student 2 Birthdate

MonthDayYear
Student 2 Grade
Kinder=0
Student 3 Name

First NameLast Name
Student 3 Birthdate

MonthDayYear
Student 3 Grade
Kinder=0
Student 4 Name

First NameLast Name
Student 4 Birthdate

MonthDayYear
Student 4 Grade
Kinder=0
Student Birth Certificates & Custody Paperwork (if needed)*

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Current School District *
EX: Huntsville City Schools or Madison County Schools
LARGE FAMILY

To register more than 4 students, please complete a SECOND form (as a continuation) with all the required fields.
Agreement

I, by my e-signature below, indicate that my family and I agree to ALL of the following terms and conditions: * The parents listed on this form (including myself) are the legal parents/guardians of the students listed for enrollment. * We hold Union Grove Baptist Church, HOPE Christian Academy, and all their associates harmless for the educational, physical, and emotional well being of our children/students. * We understand that enrollment with HOPE Christian Academy may be revoked at the discretion of HOPE Christian Academy without refund upon written notification OR upon failure to pay appropriate fees. * We also understand that we are solely responsible for renewing each year by the first of August WITHOUT reminders from HOPE Christian Academy. * I hereby indicate by my e-signature that we (parents/guardians listed on this form) will instruct our own children/students, and that we are NOT unschooling. * We acknowledge that we are solely responsible for the selection, purchase, and implementation of any/all curriculum for our students/children. * We hereby agree to maintain accurate attendance/grade records and samples of work for each of our students/children. * We hereby affirm that we will submit grade and attendance records using the HOPE Christian Academy online forms by the 15th of BOTH January and June of each year. * We will withdraw in writing ONLY using the procedure listed on the HOPE Christian Academy website, as email is NOT a legally acceptable method of communication. * We further understand and acknowledge that failure to meet these expectations may result in disenrollment and/or denial of re-enrollment for the next year. * In the interest of public health, we understand that HOPE Christian Academy requires face masks (covering the nose and mouth) to be worn at all indoor events/activities.
Signature*

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Our Family Was Referred To HOPE Christian Academy By*
Person, Business, Online Search, etc.
Parent/Guardian State Issued ID*
File should be in jpg format

Academic Background Verification
High School or College Name*
If GED, please list GED
Diploma*

Upload a File
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Parent/Guardian Diploma*

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Other Details
Our Family Is Interested In The Following*

AL Church School EnrollmentSC Church School EnrollmentAL Field TripsParent Support GroupFBLA
Our Family Has The Following Needs*

Special Needs StudentsVolunteer To Plan Field TripsInterest In Dual EnrollmentYearbook CommitteeAL Play Public School SportsFBLA (Future Business Leaders)SC Play Public School SportsLarge Family RegistrationOTHER (specify below)
Additional Notes:

Tuition Payment*

Church School Tuition (per family per year) $100.00

We are now enrolling for the 2022-23 and 2023-24 school years. After July 1st a late fee ($25) will apply. Tuition is not pro-rated. Enrollment Forms will be mailed 4-6 weeks from the date of receipt of the Registration Form and Tuition. EXPRESS Registration (2-3 business days) is now available Monday-Friday. Once your application has been processed, tuition is non-refundable (unless your registration is rejected by HOPE Christian Academy, for any reason). SELECT your enrollment option from the drop down list below. Re-enrolling families that select NEW Enrollment will be declined.

Church School Enrollment
Item subtotal:$0.00

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Total $0.00

Transcripts and/or Report Cards From Previous School(s) - New Students Only

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Payment Methods

Debit or Credit Card

First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Please click one of the PayPal options to complete payment and submit the form.

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