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.

Enter Child(ren)'s information*

	First & Last Name	Birthdate	Child's age on 8/15/2025	Grade Level	Gender M or F
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.

Please click the boxes below that apply. If your total goes over $225, Click on the "Family Cap" only. Parent handbook and Teacher/Student ID's are not included in the family cap and must be added to the total.

Late FeeLate fee applies to those renewing after August 1.

$35.00

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

Enter coupon

Total

$0.00

Credit Card

Should be Empty: