Credit Recovery Course Enrollment Form

Online Course Enrollment Form

Trinity Christian Academy
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Student First Name
Middle Name
Last Name
Date of Birth
NCAA ID Number (For College-Bound Athletes Only)
School You Currently Attend
Student Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Student Cell Phone

Area CodePhone Number
Parent Name

First NameLast Name
Parent Cell Phone

Area CodePhone Number
Parent Email
example@example.com
CHOOSE YOUR COURSE(S) BELOW. Put a check mark next to each course you are enrolling in.
Middle School Students Grades

Other
English
Mathematics
Social Studies
Science
Electives
Add any elective course that is not listed above. Add any other comments.
CLICK THE CORRECT LEVEL BELOW and Indicate the number of courses you are purchasing:

High School 1/2 Credit (Semester)

High School 1 Credit (Full Year)

Middle School Course
My Products
prevnext( X )
1/2 Credit High School Course$250.00
This is for a one semester high school course. Indicate how many one semester courses you are ordering.

Quantity

1 Credit High School Course$500.00
This is for a full credit of the same course.

Quantity

Middle School Course$250.00
This is for one full middle school credit recovery course.

Quantity

Registration Fee$50.00
Registration fee

Total $0.00
Payment Method
Should be Empty: