New Student Reservation Form 2026-2027

New Student Reservation Form

2026-2027 School Year
Submission of this form and the reservation fee indicates a family’s intent to submit an application for the 2026-2027 school year. Submission does not guarantee admission, as admission decisions remain at the discretion of the school.
Student Information*

First NameLast Name
Upcoming Grade Level (2026-2027):*
Student's Date of Birth*

MonthDayYear
Student's Primary Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Please list all schools that your student previously attended along with the year(s) attended:*
Has your student ever been suspended from a school?*

YesNo
If yes, which school and why?
Has your student ever been expelled from a school?*

YesNo
If yes, which school and why?
Do you currently carry a balance in tuition from any previous school?*

YesNo
Does your child currently take any regular medications?

YesNo
If yes, please list medications:
Is your child currently receiving a state funded scholarship?*

YesNo
If yes, please list what scholarship:
How did you hear about Parsons Christian Academy?
Does your family currently attend church?

YesNo
If yes, where?
Parent/Guardian Contact Information
Parent/Guardian 1 *

First NameLast Name
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Address (if different from student)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Place of Employment*
Work Phone Number (if applicable)
Please enter a valid phone number.
Parent/Guardian 2 (if applicable)

First NameLast Name
Phone Number
Please enter a valid phone number.
Email
example@example.com
Address (if different from student)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Place of Employment
Work Phone Number
Please enter a valid phone number.
Reservation Fee Information

Families must submit a reservation form for each child and a fee of $150.00 per student with a maximum of $250.00 per family to reserve placement for the 2026-2027 school year. This fee is non refundable and is due when the reservation form is received in the office. Reservation forms submitted prior to Mar 1, 2026, will receive:
1. A $75.00 discount towards the registration fee of one child or a $125.00 discount for two or more children.
2. A $150 discount toward annual tuition per family for the 2026-2027 school year.
Please click on one of the links below to pay your discounted registration fee by March 1st. The link will open to another tab. Please be sure to return to this tab to submit the reservation form once payment has been made.

SINGLE STUDENT

MULTIPLE STUDENTS
Please indicate your payment option below:*

I have paid the reservation fee online using the link provided.I will bring cash or check into the office for payment.Please call me as I would prefer to make my payment over the phone.
Signature of Parent/Guardian:*

Clear
Should be Empty:

New Student Reservation Form

Parent/Guardian Contact Information