Yearly Registration

Academic Year Applying for:*

Student Name*

First NameLast Name

Birth Date*

MonthDayYear

Gender*

Grade entering in the fall*

Add more children

2nd Child3rd child4th child

2nd Student Name

First NameLast Name

Birth Date

MonthDayYear

Gender

Grade entering in the fall

3rd Student Name

First NameLast Name

Birth Date

MonthDayYear

Gender

Grade entering in the fall

4th Student Name

First NameLast Name

Birth Date

MonthDayYear

Gender

Grade entering in the fall

Parent/Guardian*

First NameLast Name

Parent/Guardian E-mail*

example@example.com

Cell Number*

Parent/Guardian#2

First NameLast Name

Parent/Guardian E-mail

example@example.com

Cell Number

Best parent/guardian to contact during class time

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Emergency Contact *

First NameLast Name

Cell Number*

Please enter a valid phone number.

The following people have permission to pick up my child(ren). Please include names with cell numbers. Also, include anyone who is NOT allowed to pick up.

If the above list changes at any time throughout the academic year please contact the office by sending an email to office@tcsalem.com.

Child's Medical Provider & Doctor name *

Health Insurance Provider

Health Insurance Policy Number

List of allergies and/or medications, purpose and if they're taken during class hours:

Please list any special needs for your child(ren) academically, emotionally and/or behaviorally and what has or hasn't worked well in their past learning environment.

Anything else you would like TCA to know:

TCA Info & Policies

*

I have read and agree with Tomorrow's Champions Academy Policies

I understand that class hours are Monday-Thursday, 8:30am -3:30pm and I am able to drop off between 8:15-8:25am and pick up no later than 3:45pm.*

I agreeI am interested in a before and after school program if available

I understand that photos/videos may be taken of students for social media and/or our TCA website for updates and promotion.*

I give my permission for photos/videos to be taken of my child(ren)I do NOT give permission for any photos/videos to be taken of my child(ren)

TCA is a Private Ministerial Academy and is based off of a membership relationship between the parents and TCA. Click on the Terms and Conditions below to read the membership agreement.

Sign here for the Liability Release Form and the membership agreement:*

Clear

Monthly Tuition*:

Prek half day option is $300

Prek full day option and K-8th Grade is $450

*Some discounts apply for multi-children families

Please select one:*

I agree to pay the monthly tuitionI am interested in paying the full year tuitionI am interested in a financial assistance application

Additional Programs:

Before & After Care Options:

There is one price set for each option whether you use the whole time and all the days or not. Please keep in my mind that these options will be made available based on interest. 10 or more children signed up for each will keep the option open.

Before care is from 7:30-8:30am

After care option 1hr is from 3:30-4:30pm

After care option 2hr is from 3:30-5:30pm

Extracurricular Program

We offer a two day a week after school program that has a variety of extracurricular learning activities including sports, art and music such as: soccer, basketball, drawing, painting, drama and instruments. Each day will look different depending on the teacher and weather. Time will be on Mondays & Wednesdays from 3:30-4:30.

Please select which you’re interested in having your child attend (cost will be added to the tuition and are not included in scholarship funds):

Before care -7:30-8:30am - $100After care option 1hr 3:30-4:30pm - $100After care option 2hr 3:30-5:30pm - $150Extracurricular Program - $100

Thank you for applying!

Please expect a reply within 10 business days. At that time your tuition payment options will be reviewed after acceptance or you will be informed of your number on our waiting list.

Tomorrow's Champions Academy requires a one time non refundable application fee.*

Registration Fee

$100.00 Quantity

Total

$0.00

Credit Card

Student Application

Credit Card