BCHA Waiting List Form

Buffalo Christian Homeschool Academy

K-12 grade Hybrid Educational Partnership with Parents Creating an Agriculture Learning Environment to build self confidence surrounded by a family of believers in Jesus Christ.
Welcome to our waiting list application. Please fill out the information below. There is a $25 non refundable fee to process your application. Once I receive your check in the mail, I will approve your application and you will be placed on our list.

Please understand there is limited number of spots and ages that we can fill in a year. There is no guarantees of your acceptance.

Once you are on the list you will not be removed unless you ask.

Informtaion: Current tutition is $2500 per student for the year.

Please send a check to

Buffalo Christian Homeschool Academy

Sarah VanDerVliet

24942 459 Ave

Humboldt SD, 57035
Students Name #1

First NameLast Name
Birthdate

MonthDayYear
Date
Current School grade or Fall of 20xx for Kindergarten
Students Name #2

First NameLast Name
Birthdate

MonthDayYear
Date
Current School grade or Fall of 20xx for Kindergarten
Students Name #3

First NameLast Name
Birthdate

MonthDayYear
Date
Current School Grade or Fall of 20xx for Kindergarten
Parent Name

First NameLast Name
Cell Phone
Email
example@example.com
Parent Name

First NameLast Name
Cell Phone
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
What is your purpose for wanting to send your child / children to our academy?
How did you hear about our academy?
I understand that Buffalo Christian teaches in a Christian atmosphere. We will be teaching from the bible through devotions and prayer. We do not affiliate with any specific doctrine.

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I understand and approve Buffalo Christians Statements: **************************************************** 1. Man was created by God in his image; we are sinful and through Jesus we have salvation. 2. The Holy Bible is the inspired and infallible word of God. 3. Marriage is God ordained uniting one man and one woman. 4. Parents have the right to direct the upbringing, education and care of their children.

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I understand that Buffalo Christian is a NON Accredited academy but a SUPPLEMENT to my child's homeschool education. I am still responsible and will be the primary educator for educational learning in the home. Parents are responsible for Math and English curriculum.

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Buffalo Christian Homeschool Academy