FLA 2026-2027 Enrollment Packet

FAITH LANDMARKS ACADEMY

2026-2027 ENROLLMENT PACKET
ENROLLMENT PROCEDURES
1. READ AND COMPLETE ENTIRE ENROLLMENT APPLICATION AND RETURN TO THE SCHOOL OFFICE or SUBMIT THIS FILLABLE PDF FILE.

All applications and forms must be returned to the school office, or the church office during office hours (9:00am - 5:00 pm).
NEW ENROLLEES ONLY
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RETURNING STUDENTS
2. MANDATORY PARENT ORIENTATION:

A mandatory meeting for all FLA families will be held in the week prior to the beginning of school.

All paperwork must be completed by this meeting. The family must be enrolled in QuickSchools™ by this date.
GENERAL STUDENT INFORMATION (Please type or print legibly) Include all children to be enrolled
STUDENT 1
FULL STUDENT NAME

First NameMiddle InitialLast Name
AGE
DATE OF BIRTH

MonthDayYear
Date
PREFERRED NAME
SEX:
GRADE ENTERING
SOCIAL SECURITY NUMBER
STUDENT 2
FULL STUDENT NAME

First NameMiddle InitialLast Name
DATE OF BIRTH

MonthDayYear
Date
PREFERRED NAME
SEX:
AGE
GRADE ENTERING
SOCIAL SECURITY NUMBER
STUDENT 3
FULL STUDENT NAME

First NameMiddle InitialLast Name
AGE
DATE OF BIRTH

MonthDayYear
Date
PREFERRED NAME
SEX:
SOCIAL SECURITY NUMBER
GRADE ENTERING
STUDENT 4
FULL STUDENT NAME

First NameMiddle InitialLast Name
PREFERRED NAME
AGE
DATE OF BIRTH

MonthDayYear
Date
SEX:
GRADE ENTERING
SOCIAL SECURITY NUMBER
STUDENT 5
FULL STUDENT NAME

First NameMiddle InitialLast Name
PREFERRED NAME
SEX:
AGE
DATE OF BIRTH

MonthDayYear
Date
GRADE ENTERING
SOCIAL SECURITY NUMBER
PARENT INFORMATION (Please type or print legibly)
FATHER'S (OR GUARDIAN'S) NAME
HOME ADDRESS

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
HOME PHONE #
Format: (000) 000-0000.
HOME EMAIL
example@example.com
EMPLOYER
Employment Status
WORK PHONE #
Format: (000) 000-0000.
WORK EMAIL
example@example.com
MOTHER'S (OR GUARDIAN'S) NAME
HOME ADDRESS

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
HOME PHONE #
Format: (000) 000-0000.
HOME EMAIL
example@example.com
EMPLOYER
Employment Status
WORK PHONE #
Format: (000) 000-0000.
WORK EMAIL
example@example.com
IF DIVORCED OR SEPARATED, PLEASE INDICATE WHO HAS CUSTODY AND IF THERE ARE SPECIAL INSTRUCTIONS OR CONSIDERATIONS TO BE MADE REGARDING SCHOOL INFORMATION TO SEND TO THE OTHER PARENT.

A COPY OF CUSTODY PAPERS MUST BE PROVIDED.
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STUDENT LIVING WITH?
EMERGENCY CONTACT & PICK UP INFORMATION
NAME
RELATIONSHIP
HOME PHONE #
Format: (000) 000-0000.
BUSINESS PHONE #
Format: (000) 000-0000.
CELL PHONE #
Format: (000) 000-0000.
NAME
RELATIONSHIP
HOME PHONE #
Format: (000) 000-0000.
BUSINESS PHONE #
Format: (000) 000-0000.
CELL PHONE #
Format: (000) 000-0000.
NAME
RELATIONSHIP
HOME PHONE #
Format: (000) 000-0000.
BUSINESS PHONE #
Format: (000) 000-0000.
CELL PHONE #
Format: (000) 000-0000.
IN THE EVENT THAT A PARENT IS UNABLE TO PICK UP MY/OUR CHILD FROM SCHOOL, THE ABOVE MARKED INDIVIDUALS HAVE AUTHORIZATION TO PICK UP MY/OUR CHILD(REN) FROM FAITH LANDMARKS ACADEMY. I/WE WILL, IF AT ALL POSSIBLE, SEND A NOTE OR CALL FAITH LANDMARKS ACADEMY TO ADVISE STAFF OF THE CHANGE.
CURRENT CHURCH MEMBERSHIP (Please type or print legibly)
ARE THE PARENTS (OR GRANDPARENTS) MEMBERS OF FAITH LANDMARKS MINISTRIES?
IF NO, CHURCH OF MEMBERSHIP (FATHER)
PHONE #
Format: (000) 000-0000.
ADDRESS
PASTOR
IF NO, CHURCH OF MEMBERSHIP (MOTHER)
PHONE #
Format: (000) 000-0000.
ADDRESS
PASTOR
FINANCIAL STATUS
2026-2027 FEES: PER STUDENT / PER SCHOOL YEAR

K3 – 2nd GRADE $5,000
3rd – 6th GRADE $5,500
7th – 12th GRADE $6,000
PERSON RESPONSIBLE FOR HANDLING THE FINANCIAL OBLIGATION FOR THIS SCHOOL YEAR (IF DIFFERENT FROM PARENT)
ADDRESS

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
We have reviewed the financial obligations required to enroll. We will be able to cover the financial obligation according to our Enrollment Agreement. If we have difficulty meeting the requirements at any time, we agree to contact the Business Office immediately with an explanation and not wait for the Business Office to contact us. We understand that inability to make payments in a timely manner may necessitate the withdrawal of our child(ren) until such time as our account is made current.
Signature
DATE

MonthDayYear
Date
PHOTO/MEDIA AUTHORIZATION
At times our staff will be taking photos/videos for publicity or departmental purposes. Pictures may be posted on our website or bulletin boards. No names will be associated with photos. We appreciate your cooperation; however, if you DO NOT want pictures of you or your child taken, please sign here.
Signature
ENROLLMENT AGREEMENT
We understand and agree with the Statements of Faith & Educational Philosophy of FAITH LANDMARKS ACADEMY. It is our desire that the schoolwork directly with us in the total spiritual, moral, social, emotional, and academic education of our child.
As parents, we sincerely pledge our loyalty to the aims and ideals of the school. We believe that discipline is necessary for the welfare of each student, as well as for the entire school. We give permission for our child's teacher and/or other agents of the school to make and enforce classroom regulations in a manner consistent with Christian principles and discipline as set forth in Scripture and the school handbook. We further agree that we will support the faculty and administration in discipline at home as needed. We will also ensure that our child follows the dress code and the Student Code of Conduct.
A Student Handbook will be furnished to all students and parents so they will be knowledgeable of regulations and guidelines.
It is understood that all new students are accepted on a "probationary basis" for the first grading period, before grade placement and admission becomes final.
FAITH LANDMARKS ACADEMY reserves the right of dismissal of any student who persistently and willfully neglects his academic work, exercises poor citizenship, reflects adversely on the Christian principles of the school or is engaged in behavior or lifestyle inconsistent with Biblical guidelines as prescribed by the Word of God. This policy applies to behavior on and off campus, and throughout the calendar year.
We agree to pay tuition and all fees in a timely manner, in accordance with the financial policies and payment schedules outlined by FAITH LANDMARKS ACADEMY.
We give FAITH LANDMARKS ACADEMY permission for our child to take part in all activities, including trips away from the school. Our child has permission to ride in FAITH LANDMARKS ACADEMY approved transportation for all activities.
We agree to hold the school and its agents harmless for any liability to our child or any guardian or parent thereof because of claims on behalf of our child against the school or any agent thereof because of injury or alleged injury to our child. Should legal action, for any reason, be taken against FAITH LANDMARKS ACADEMY, or any employee or agent thereof on our child's behalf, we agree to pay all attorney fees (FAITH LANDMARKS ACADEMY's included), damages, medial fees, or other costs.
FAITH LANDMARKS ACADEMY will provide competent teachers and a well-balanced curriculum for the total development of our students.
We have read and are fully aware of the guidelines for enrollment. Our signatures below convey that our family agrees to comply with all policy statements and guidelines of FAITH LANDMARKS ACADEMY.
Father or Legal Guardian
Date

MonthDayYear
Date
Mother or Legal Guardian
Date

MonthDayYear
Date
Student Record - OFFICE USE
DATE OF APPLICATION SUBMISSION:

MonthDayYear
Date
FLA OFFICE INITIALS:
ALL STUDENTS:
8491 CHAMBERLAYNE ROAD
RICHMOND, VA 23227
804.262.8256
Fax 804.266.7127
www.faithlandmarks.org
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FAITH LANDMARKS ACADEMY

ENROLLMENT PROCEDURES

GENERAL STUDENT INFORMATION (Please type or print legibly) Include all children to be enrolled

STUDENT 1

STUDENT 2

STUDENT 3

STUDENT 4

STUDENT 5

PARENT INFORMATION (Please type or print legibly)

EMERGENCY CONTACT & PICK UP INFORMATION

CURRENT CHURCH MEMBERSHIP (Please type or print legibly)

FINANCIAL STATUS

PHOTO/MEDIA AUTHORIZATION

ENROLLMENT AGREEMENT

Student Record - OFFICE USE