Anima Christi Enrollment Form

Enrollment Form

2026-2027
PreK-12 Instructional Fee - $4,600. Instructional fee will be paid monthly.

Enrollment fee is $200 per student, non-refundable, and will be collected upon completion of enrollment form.
Number of Students?
Student's Full Name

First NameMiddle NameLast Name
Grade Level Applying For
Student's Date of Birth

MonthDayYear
Date
Does Student receive or need special services (IEP, 504 Plan)?
Upload IEP/504 Plan

Cancelof
Student Lives With
Please Specify
Student's Address

Street Address

Street Address Line 2
CityStateZip Code
2. Student's Full Name

First NameMiddle NameLast Name
2. Grade Level Applying For
2. Student's Date of Birth

MonthDayYear
Date
2. Does Student receive or need special services (IEP, 504 Plan)?
2. Upload IEP/504 Plan

Cancelof
2. Student Lives With
2. Please Specify
2. Student's Address

Street Address

Street Address Line 2
CityStateZip Code
3. Student's Full Name

First NameMiddle NameLast Name
3. Grade Level Applying For
3. Student's Date of Birth

MonthDayYear
Date
3. Does Student receive or need special services (IEP, 504 Plan)?
3. Upload IEP/504 Plan

Cancelof
3. Student Lives With
3. Please Specify
3. Student's Address

Street Address

Street Address Line 2
CityStateZip Code
4. Student's Full Name

First NameMiddle NameLast Name
4. Grade Level Applying For
4. Student's Date of Birth

MonthDayYear
Date
4. Does Student receive or need special services (IEP, 504 Plan)?
4. Upload IEP/504 Plan

Cancelof
4. Student Lives With
4. Please Specify
4. Student's Address

Street Address

Street Address Line 2
CityStateZip Code
Parent/Guardian Information
Parent/Guardian Name

First NameLast Name
Relationship to Student
e.g., Mother, Father
Address

Street Address

Street Address Line 2

CityState

Zip Code
Cell Phone
Please enter a valid phone number.Format: (000) 000-0000.
Work Phone
Please enter a valid phone number.Format: (000) 000-0000.
Home Phone
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Catholic?
Church You Actively Support
Second Parent/Guardian Name

First NameLast Name
Relationship to Student
ex: Mother, Father
Address

Street Address

Street Address Line 2

CityState

Zip Code
Cell Phone
Please enter a valid phone number.Format: (000) 000-0000.
Work Phone
Please enter a valid phone number.Format: (000) 000-0000.
Home Phone
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Catholic?
Church You Actively Support

Instructional/Enrollment Fee
PreK-12 Instructional Fee - $4,600. Instructional fee will be monthly payments.

Enrollment fee is $200 per student, non-refundable, and will be collected upon completion of enrollment form.
Payment Method
Payment will be collected at the Open House.

Enrollment Fee

Student

Enrollment fee is per student

Non-refundable

$200.00 Quantity
Item subtotal:

Total

Payment Methods

Credit Card

Apple Pay

Google Pay

Cash App Pay

Should be Empty:

Enrollment Form

Parent/Guardian Information

Instructional/Enrollment Fee

Enrollment Fee*

Payment Methods

Enrollment Fee