Apply Here

School Registration
HOPE CHRISTIAN ACADEMY

"BE A LIGHT FOR ALL TO SEE"
Additional documents for registration

Bring fill out this registration form and then drop off the following documentation to the school office.

• Original Certified Birth Certificate
• Original MCP Card (or proof of insurance)
• Current Immunization Form
Student Information
Name*

First NameLast Name
Gender*
Birth Date *

MonthDayYear
Email Address
Grade entering*
Have you previously applied to or attended this school?*

YesNo
If yes, what year?
Current Residence Information
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Home Phone Number*

Area CodePhone Number
Primary Residence Information (if different from above)
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent/Guardian Residence Information (if different from above)
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Emergency Contact 1
Name*

First NameLast Name
Phone Number*

Area CodePhone Number
Email
example@example.com
Emergency Contact 2
Name*

First NameLast Name
Phone Number*

Area CodePhone Number
Email
example@example.com
Medical Information
MCP Number*
Please list any of the following: Current medications, Medication allergies, Food allergies, Chronic health concerns.

Previous School
School Name
City
Province
Date Started

MonthDayYear
Date Ended

MonthDayYear
Notes
Please inform the office of any other vital information you think they may need to know in the event of an emergency. Thank you.
Should be Empty: