SCA 2022-2023 School Year Application

Sager Classical Academy Student Application

2022-2023
Student Information
Last Name *
First Name *
M.I.
Preferred Name
Birth Date *

Month Day Year
Gender *
Entry Year *
Entry Grade *
K - 12th
Have you previously applied to or attended this school?

Yes No
If yes, last grade attended?
K-2 students only: Would you like to enroll your student in the optional half day Friday Enrichment program ($700 per year)? (If you are registering a Friday-only student, they will be waitlisted for Friday programming until all full time students have registered. We will then open spots up for Friday-only students if space is available.)

Yes No
K-5th students only: Would you like to enroll your student in optional after school care Monday-Friday, 12:30-2:30? Cost: $1750/year. (No single days or discount for participating less than 5 afternoons.) Space is limited for this program. If it is already full when you register, your student will be placed on a waitlist and you will be notified.

Yes No
6th-12th students only: Would you like to enroll your student in optional after school care Fridays 12:30-2:30? Cost: $350/year. Space is limited for this program. If it is already full when you register, your student will be placed on a waitlist and you will be notified.

Yes No

Current Residence Information
Street Address *
Street Address Line 2
City *
State *
Zip Code *
Parent/Guardian Information
Parent/Guardian 1 (Populate address if different than above)
Last Name *
First Name *
Street Address
Street Address Line 2
City
State
Zip Code
Email Address *
Home Phone Number *
Cell Phone Number
Relationship to Student *
Parent/Guardian 2 (Populate address if different than above)
Last Name
First Name
Street Address
Street Address Line 2
City
State
Zip Code
Phone Number

Area Code Phone Number
Email Address
example@example.com
Relationship to Student

Emergency Information
Emergency Contact 1
Last Name *
First Name *
Primary Phone Number *
Secondary Phone Number
Relationship to Student *
Emergency Contact 2
Last Name
First Name
Primary Phone Number
Secondary Phone Number
Relationship to Student
Physician and Medical Information
Last Name
First Name
Primary Phone Number
Secondary Phone Number
Preferred Hospital
Insurance/Health Coverage (Company)
Please list any of the following: Current medications, Medication allergies, Food allergies, Chronic health concerns.
Do you wish to give SCA permission to provide the following ever the counter medicine to your student:
- Tylenol
- Children's Acetaminophen
- Children's Ibuprofen
- Peptobismol
- Children's Claritin
- Benadryl (oral)
- Benadryl (topical)
- Lozenges
Yes/No *

Yes No

School History
Enrollment History
Previous School 1
School Name
City
State
Date Started

Month Day Year
Date Ended

Month Day Year
Previous School 2
School Name
City
State
Date Started

Month Day Year
Date Ended

Month Day Year
Previous School 3
School Name
City
State
Date Started

Month Day Year
Date Ended

Month Day Year
Notes
Please inform the office of any other vital information you think they may need to know. Thank you.

Statement of Faith
The following Statement of Faith was adopted by the Board on 16 July 2018 and reflects the core principles of our academy. While we are not associated with any particular church or denomination, we will adhere to the basic absolutes of Christian doctrine. We expect that parents support our statement of faith whether or not they attend church or profess belief.

1: We believe that there is one Triune God (Father, Son, and Holy Spirit) who is omniscient, omnipresent, omnipotent, and eternal.

2: We believe that all human beings are created in the image of God and called to be transformed into his likeness.

3: We believe in Jesus Christ’s virgin birth, in His sinless life, in His miracles, in His vicarious and atoning death through His shed blood, in His bodily resurrection, in His ascension to the right hand of the Father, and in His personal return in power and glory.

4: We believe that salvation is by grace through faith.

5: We believe that faith without deeds is dead.

6: We believe that a personal relationship with Jesus Christ, the Incarnate God-Man, who is the Way, the Truth, and the Life, is necessary for all believers.

7: We believe that restoration by the Holy Spirit is necessary for the salvation of fallen human beings, and that by its work, Christians bear good fruit.

8. We believe that the Word of God is divinely-inspired and authoritatively true.

9: We believe in the resurrection of all human beings, that they are resurrected either to eternal life or damnation.

10: We believe in the spiritual unity of all believers in our Lord Jesus Christ.
Do you support our statement of faith?
Yes/No *

Yes No

Submit Application
I hereby certify that the above statements are true and correct to the best of my
knowledge. I understand that a false statement may nulify my application.
Signature *

Clear
Please verify that you are human *
Should be Empty:

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