• Anchor Baptist Academy

    Registration Form
  • Student Information

  • Gender:
  • Parent/Guardian Information

  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Marital Status:
  • Student lives with:
  • Church & Spiritual Background

  • Academic Background

  • Been suspended/expelled?
  • Required academic assistance?
  • Health Information

  • Format: (000) 000-0000.
  • Discipline & Character

  • Has the student had any serious discipline issues?
  • Parent Commitment

  • Please read carefully and initial each statement:

  • Statement of Agreement


  • I certify that the information provided is accurate and complete. I understand that submitting this application does not guarantee acceptance.

  • Date:
     - -
  • Should be Empty: