Kingdom Christian Academy I K-5th Admissions Application
Kingdom Christian Academy I Kindergarten - 5th Grade Admissions Application
Welcome to Kingdom Christian Academy!Thank you for considering KCA for your child's education. We believe education is more than academics—it is an opportunity to cultivate wisdom, character, faith, and a lifelong love of learning.Please complete the following application accurately and thoroughly. Submission of this application does not guarantee admission. Our admissions team will review each application individually and may request additional information, records, assessments, or an interview.We look forward to getting to know your family!
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SECTION 1 - Student Information
Legal First Name
*
Middle Name
*
Last Name
*
Date of Birth
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Sex
*
Please Select
Male
Female
Grade Applying For
*
Please Select
Kindergarten
First Grade
Second Grade
Third Grade
Fourth Grade
Fifth Grade
School Year
*
Please Select
2027-2028
2028-2029
Current School
*
Current Grade
*
Please Select
Pre-k
Kindergarten
First Grade
Second Grade
Third Grade
Fourth Grade
Fifth Grade
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SECTION 2 - Parent/Guardian
Full Name
*
First Name
Last Name
Relationship to Student
*
Please Select
Mother
Father
Stepmother
Stepfather
Grandparent
Legal Guardian
Other
Email
*
example@example.com
Primary Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Secondary Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Home Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Employer
Occupation
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SECTION 3 - Family Information
Does the student have siblings?
*
Yes
No
If yes, please list each sibling's name, age, and current school.
Does your family currently attend a church?
*
Yes
No
Church Name
Why are you interested in Kingdom Christian Academy?
*
What are your family expectations for your child's education at Kingdom Christian Academy?
*
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SECTION 4 - Academic Information
How would you describe your child's current academic performance?
*
Excellent
Above Average
Average
Below Average
Significant Academic Concerns
What are your child's academic strengths?
*
Are there any academic areas in which your child needs additional support?
*
Yes
No
If yes, please explain.
Favorite Subjects
*
Reading
Writing
Mathematics
Science
Social Studies
Art
Music
Physical Education
Other
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SECTION 5 - Educational History
Has your child ever been retained in a grade?
*
Yes
No
If yes, please explain.
Has your child ever received any of the following services?
*
Reading intervention
Math intervention
Speech/language services
Occupational therapy
Physical therapy
Gifted services
Tutoring
Academic accomodations
None
Other
Does your child currently have an IEP, 504 Plan, Individualized Student Plan, or other educational accommodation plan?
*
Yes
No
Previously had one
Currently being evaluated
If yes, upload current documentation.
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SECTION 6 - Student Character and Development
Please tell us about your child's personality, interests, strengths, and areas where he/she may need additional encouragement or support.
*
How does your child generally interact with peers?
*
Very Well
Generally Well
Sometimes Struggles
Frequently Struggles
We are Currently Working on Social Development
Are there any behavioral, emotional, or social concerns that would be helpful for our admissions team to know?
*
Yes
No
If yes, please explain.
Has your child ever been suspended, expelled, or asked to leave a school or educational program?
*
Yes
No
If yes, please explain.
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SECTION 7 - Health Information
Primary Physician Name
*
Physician Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Does your child have any known allergies?
*
Yes
No
If yes, please list allergies and describe the reaction.
Does your child have any dietary restrictions or food allergies?
*
Yes
No
If yes, please explain.
Does your child have any medical condition or health concern that school personnel should be aware of?
*
Yes
No
If yes, please explain.
Does your child require medication during the school day?
*
Yes
No
If yes, please provide additional information.
Medication administration will require additional authorization forms after enrollment.
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SECTION 8 - Previous School and Records
Current/Previous School Name
*
School Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Teacher/Principal Name
*
May Kingdom Christian Academy request educational records from your child's current or previous school?
*
Yes
No
*Authorization*
I authorize Kingdom Christian Academy to request and receive educational records necessary for the admissions and enrollment process from my child's current or previous educational institution.
Parent/Guardian Electronic Signature
*
Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
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SECTION 9 - Emergency Contacts
Emergency Contact #1
Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Relationship to Student
*
Emergency Contact #2
Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Relationship to Student
*
Authorized Pickup
Please list individuals who may be authorized to pick up your child from school.
*
Additional pickup authorization may be required through the KCA enrollment process.
How will your child normally arrive at and leave school?
*
Parent/Guardian Drop-Off
Parent/Guardian Pickup
Carpool
Other
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SECTION 10 - Document Uploads
If you do not currently have a document available, you may submit the application and provide the document later.
Birth Certificate
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Current Report Card
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School-Entry Health Examination
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Immunization Record
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IEP/504/Educational Plan
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Custody Documentation
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SECTION 11 - Parent/Guardian Acknowledgment and Signature
We are grateful for the opportunity to apply to Kingdom Christian Academy. We understand that KCA seeks to partner with families in providing a Christ-centered education that develops students academically, spiritually, socially, and personally.We understand that admission to Kingdom Christian Academy is based upon the school's admissions process, available space, student needs, and the school's ability to provide an appropriate educational environment.By submitting this application, we affirm that the information provided is accurate and complete.
Parent/Guardian Full Name
*
Electronic Signature
*
Submit
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