Enrollment Interest Form
Elim Vine Preparatory Academy --Northpoint Community Church Campus
This form is for families who may be interested in enrolling their children. Completing this form does not guarantee enrollment, but helps us plan and stay in touch with updates.
Please answer the below question to help us better plan to meet the needs of our families and future learners/leaders.
Parent/Guardian Information
Parent/Guardian Name:
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Home Zip Code:
*
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Student Information
Student #1 Full Name:
*
First Name
Last Name
Grade Level:
*
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
Student #2 Information
First Name
Last Name
Grade Level:
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
Do you have an interest in a Pre K program?
*
Yes, PreK-3
Yes, PreK-4
No, not at this time
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Interest Survey
When would you be most interested in enrolling your child(ren):
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Fall 2025 (this upcoming school year in August)
Fall 2026
Not Sure
If space were available, would you consider enrolling your child this upcoming school year (Fall 2025)?
*
Yes, I am actively looking for a school now
Possibly, I need more information
No, I am planning ahead for the future
What educational priorities are most important to your family? (Check all that apply)
*
Faith-Based Environment
Advanced Reading
Advanced Math
Science & STEM Learning
Genius Lab Opportunity
Small Class Sizes
4 Day Academic Week with Friday--Experimental\Leadership & Enrichment Lab Day
Character and Leadership Development
Innovative Learning Opportunities
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Tuition Readiness & Affordability
Academic Investment
We anticipate tuition will be in the range of $4,800–$5,500 per year, with options for payment plans, and sibling discounts. How likely would your family be to enroll at this tuition level?
*
Very Likely – We are ready to invest in quality private education
Somewhat Likely – We’d be interested in payment plans
Not Likely – The cost would be a barrier
Additional Questions and Comments:
Rank your interest in our young vine programs
*
Would you like someone from our admission department to call you with more information for the 2025 school year?
*
Yes, please call
No, at this time
Would you like to receive email updates about school progress and enrollment events?
*
Yes
No
Would you like to receive text messages?
*
Yes
No
Submit
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