PDF Form

Student name

First NameLast Name

Parent Email

example@example.com

Parent/Guardian Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number

Area CodePhone Number

Parent/Guardian relationship to Student

FatherMotherOther

Does Student live at Parent/Guardian residence?

yesno

Student Date of Birth

Last School Attended

Student Gender

malefemale

Student Ethnicity

Last Grade Completed

Student Social Security Number

List any academic concerns you have for this student

List any medical issues CLA should be aware of.

Parent/Guardian Name

First NameLast Name

Physician Name

Physician Phone Number

Please enter a valid phone number.

Emergency Contact Name

First NameLast Name

Relationship to Student

Has student ever been expelled, dismissed, suspended, or refused admission to another school?

YesNo

Has student ever had disciplinary difficulty at school?

YesNo

How did you hear about Christian Life Academy?

By Submitting this Application:

I understand that the school is a key partner in the growth and training of my child, and I will actively support its mission and standards.

I understand that my involvement is essential to my child's academic success. I agree to:

*Provide a quiet, consistent place at home for my child to study and complete shoolwork.
*Encourage my child to complete all assignments on time and to the best of their ability.
*Support my child’s learning by maintaining communication with teachers and staying informed about their progress.
*Reinforce the values of responsibility, effort, and respect both at home and in support of school expectations.
*Partner with the school in upholding Christian principles and a respectful learning environment.

I appreciate the standards of the school and will not tolerate profanity, obscenity in word or action, dishonor to the Word of God, or disrespect to staff.

I understand that the school reserves the right, after a parental conference, to dismiss any child who fails to comply with established regulations and disciplines.

I have read the school handbook located either online at www.claofgainesville.org or in print, and I agree to abide by the requirements set forth in such.

Christian Life Academy-Student Application