BFAYLA Student Application (Grades 4

BFAYLA Student Application (Grades 4–7)

Welcome! Thank you for your interest in Beauty From Ashes Youth Leadership Academy (BFAYLA)—an all-girls, Christ-centered leadership academy serving grades 4–7. We accept students from all backgrounds, and all are welcome. Once your application has been reviewed, a member of our team will contact you with next steps.
Section 1 — Student Information

Tell us about the student applying to BFAYLA.
Full Name (First, Middle, Last)*
Preferred Name / Nickname
Date of Birth*

MonthDayYear
Date
Grade Applying For*
Current School / Grade Level*
Home Address*

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Phone Number*
Please enter a valid phone number.
Email Address (optional)
example@example.com
Section 2 — Parent / Guardian Information

Provide details for at least one parent or guardian.
Name of Parent / Guardian 1*
Relationship to Student (Parent / Guardian 1)*
Phone (Parent / Guardian 1)*
Please enter a valid phone number.
Email (Parent / Guardian 1)*
example@example.com
Name of Parent / Guardian 2
Relationship to Student (Parent / Guardian 2)
Phone (Parent / Guardian 2)
Please enter a valid phone number.
Email (Parent / Guardian 2)
example@example.com
Primary Contact for School Communications*

Parent/Guardian 1Parent/Guardian 2Other
Section 3 — Emergency Contacts

Provide at least one emergency contact who is not a parent or guardian.
Name (Emergency Contact 1)*
Relationship (Emergency Contact 1)*
Phone (Emergency Contact 1)*
Please enter a valid phone number.
Name (Emergency Contact 2)
Relationship (Emergency Contact 2)
Phone (Emergency Contact 2)
Please enter a valid phone number.
Section 4 — Medical & Health Information

Let us know about the student's medical needs.
Allergies / Medical Conditions*
Medications*
Doctor / Clinic Name*
Doctor / Clinic Phone*
Please enter a valid phone number.
Health Insurance Provider*
Special Accommodations Needed*
Section 5 — Academic & Extracurricular Background

Share information about the student's academic and extracurricular experiences.
Current or Previous School Name(s)*
Favorite Subjects / Strengths*
Areas for Growth / Support Needed*
Extracurricular Activities / Hobbies*
Awards or Achievements (Optional)
Section 6 — Spiritual & Faith Background
Does the student attend church or faith-based activities?

YesNoPrefer not to say
Church / Faith Community Name & City
Student’s Faith Statement or Interest in Learning about God
Parent/Guardian Comments on Spiritual Goals
Section 7 — Enrollment Agreements & Policies

Acknowledge and agree to the school's policies.
Enrollment Agreement: I/We acknowledge that BFAYLA is an all-girls, Christian leadership academy. While all students are welcome, the school integrates biblical principles, character development, and spiritual growth into its programs. I/We agree to support the student in participating in faith-integrated activities while respecting the school’s evangelistic mission.
Do you accept the enrollment agreement?*

YesNo
Signature of Parent/Guardian*

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Date of Agreement*

MonthDayYear
Date
Section 8 — Media Release

Grant or withhold permission for the use of the student's images or artwork.
I/We give permission for photos, videos, or artwork of the student to be used for BFAYLA promotional materials, social media, or publications.

YesNo
Section 9 — Additional Information

Share anything else you would like us to know.
How did you hear about BFAYLA?*
Other comments or information you would like us to know
Section 10 — Document Uploads

Upload relevant documents as part of your application.
Birth Certificate (PDF or Image)

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Previous School Transcript (PDF or Image)

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Recommendation Letter (PDF or Image)

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BFAYLA Student Application (Grades 4–7)

Section 1 — Student Information

Section 2 — Parent / Guardian Information

Section 3 — Emergency Contacts

Section 4 — Medical & Health Information

Section 5 — Academic & Extracurricular Background

Section 6 — Spiritual & Faith Background

Section 7 — Enrollment Agreements & Policies

Section 8 — Media Release

Section 9 — Additional Information

Section 10 — Document Uploads