City Christian Academy Application

Application for 2025-2026 School Year
Student Name*

First NameLast Name
Date of Birth*

MonthDayYear
Date
Gender*

MaleFemale
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Grade Level in 2025-2026*
Current Grade Level*
2024-2025 School Year
Current School Attending*
2024-2025 School Year
School Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent/Guardian's Information
Parent/Guardian's Name - Primary*

First NameLast Name
Occupation*
Phone Number*
Please enter a valid phone number.
Email*
Please enter a valid phone number.
Parent/Guardian's Name - Secondary

First NameLast Name
Occupation
Phone Number
Please enter a valid phone number.
Email
Please enter a valid phone number.
Estimated Household Annual Income Level*

$0-30,000$30,001-60,000$60,001-100,000$100,001-$200,000$200,000+
Student Transcripts

Please upload a copy of the student's transcripts using the box below.
File Upload*

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Reminders
SCHOOL TOUR & INTERVIEW. The Head of School will conduct a school tour and interview with the student and at least one guardian as part of the admissions process.

ACCEPTANCE & ENROLLMENT. City Christian Academy will inform families about their admissions status beginning February 1st. Enrollment paperwork and a $300 per child annual, non-refundable registration fee will be due by April 1st. Between April 2nd-June 1st, the fee will be $350 per child. After June 1st, the fee will be $400 per child.

TRI-LATERAL AGREEMENT. City Christian Academy requires all families to sign our Tri-Lateral Agreement between students, parents/guardians, and administrators as a requirement of admission. This agreement acknowledges a shared understanding that City Christian Academy is a Christian school and that instruction, behavioral expectations, and cultural norms will be based on an orthodox understanding of Christianity as outlined in the Baptist Faith & Message (2000).
Date Signed*

MonthDayYear
Date
Parent/Guardian Signature*

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Application for 2025-2026 School Year

Parent/Guardian's Information

Student Transcripts

Reminders