Chestnut Ridge Academy Renewal Form

Chestnut Ridge Academy Renewal Form
School Year*
In what school system does your family currently live?*
For example: Lincoln County Schools, Fayetteville City Schools etc.

	Child's (First and Last) Name	Birthdate	Child's age on 8/15/2025	Grade Level
Child #1
Child #2
Child #3
Child #4
Child #5

Parent/Guardian *
This is the person taking responsibility for the child(ren)'s education. This person is at liberty to hire a tutor or sign the child(ren) up for classes outside the home when necessary.
Which of these does the above named parent/guardian have?*
Parent or legal guardian must have a high school diploma or GED. Proof of diploma or GED may be requested.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Phone Number*
Please enter a valid phone number.

Registration Fees

When calculating fees, start with the oldest child first. Sibling discounts apply to younger siblings.

9th – 12th Grade: $100 1st child
$90 2nd child

1st-8th Grade: $90 1st child
$80 each additional child registering for 1st-8th grade

Kindergarten: $25 per child

Registration Fee Cap per family - $225

Graduating Senior Fee: Please go to our website "Class of 2026" page to pay graduation fees.
Enter name(s) for Parent-Teacher ID card
Parent ID cards are $5 each. Please be sure to add it to your cart below. Without payment, the card will not be sent.
Enter name(s) for Student ID card
Student ID cards are $5 each. Please be sure to add it to your cart below. Without payment, the card will not be sent.
$25 late fee per family (Renewal Registrations were due August 1)
If you are renewing after August 1, you owe the $25 late fee. If you fail to pay the fee, the application will be considered incomplete.
My Products
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High School Student #1First Student
$100.00 Quantity



High School Student #2
$90.00 Quantity



1st - 8th Grade Student #1
$90.00 Quantity



1st - 8th Grade Student #2
$80.00 Quantity



Kindergarten Child
$25.00 Quantity



Family Cap
$225.00 Quantity



Parent Handbook (Hard Copy)A copy of the parent handbook is available free on our website. If you'd like a hard copy mailed, this fee covers printing and mailing costs.
$5.00 Quantity



Parent Teacher ID
$5.00 Quantity



Student ID
$5.00 Quantity



Total

$0.00
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