2026-2027 Student Registration Form

26/27 Student Registration Form
Student's Name

First NameMiddle NameLast Name
Student's Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Student's Grade Level for 26/27 School Year
Student Status for 26/27 School Year (check all that apply)
Father's Name

First NameLast Name
Father's Phone Number
Format: (000) 000-0000.
Father's Email
Father's Address (if different from student)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Mother's Name

First NameLast Name
Mother's Phone Number
Format: (000) 000-0000.
Mother's Email
Mother's Address (if different from student)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
We intend for our student to attend Union Pointe Christian Academy for the 2026-2027 school year. A $235 non-refundable Registration Fee per student must be returned with this form in order for it to be processed. For returning families, the Registration Fee is $180 if the form and payment are received by April 30, 2026. We cannot guarantee a spot in the class for your child without payment of the Registration Fee. Payment can be made in the form of cash, check (made out to Union Pointe Christian Academy), or online (https://www.unionpointeacademy.org/payment).
Father's Signature
Today's Date

MonthDayYear
Mother's Signature
Today's Date

MonthDayYear
Should be Empty:

26/27 Student Registration Form