School Enrollment

CHURCH INFORMATION:
YesNo
Name of Church:*
(N/A If Not Applicable)
Name of Pastor: *
(N/A If Not Applicable)
Church Address:*
(N/A If Not Applicable)
YesNo
Emergency Contact 1:
Name*

First NameLast Name
Phone Number*

Area CodePhone Number
Email*
example@example.com
Emergency Contact 2:
Name*

First NameLast Name
Phone Number*

Area CodePhone Number
Email*
example@example.com
Physician and Medical Information
Name*

First NameLast Name
Phone Number*

Area CodePhone Number
Preferred Hospital*
Insurance/Health Coverage (Company)*
Please list any of the following: Current medications, Medication allergies, Food allergies, Chronic health concerns.

YesNo
YesNo
YesNo
Previous School 1
School Name*
City*
State*
Date Started*

MonthDayYear
Date Ended*

MonthDayYear
Previous School 2
School Name
City
State
Date Started

MonthDayYear
Date Ended

MonthDayYear
Previous School 3
School Name
City
State
Date Started

MonthDayYear
Date Ended

MonthDayYear
Notes
Please inform the office of any other vital information you think they may need to know in the event of an emergency. Thank you.
SIGNATURE

All information given on this form is accurate and truthful. We agree to accept the Christian education philosophies and spiritual standards and to abide by the rules and regulations of Sonshine Christian Academy. Application is incomplete if no signature provided.
Legal Guardian 1 Signature*
Legal Guardian 2 Signature
Submit Required Documents:*

Cancelof
Payment*
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Application Fee
One-Time Application Fee

$50.00 Quantity

Total

$0.00

Payment Methods

Debit or Credit Card

Choose from one of the PayPal options to make your payment.

Sonshine Christian Academy