Chestnut Ridge Academy A Homeschool Umbrella

Chestnut Ridge Academy A Homeschool Umbrella

Please fill out the application form carefully
Before filling out this application, please be sure to download and read the Registration Policies found on the website.
Student Information
Student Name

First Name Last Name
Birth Date

Month Day Year
Student Grade Level
Please check one:

New Student to Chestnut Ridge Academy for the 2019-20 school year Renewal: Student was registered with CRA for the 2018-19 school year
Primary Teacher's Name
Must be a parent or legal guardian and hold a high school diploma or GED.
Parent Information
Mother's Name

First Name Last Name
Father's Name

First Name Last Name
E-mail
Phone Number

Area Code Phone Number

Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

In what public school system does the student currently live? (For example: Lincoln County Schools, Fayetteville City Schools, etc)
Background Information
Is the student considered truant at this time?

Yes No
Is there a court date scheduled for truancy?

Yes No
If the answer to the last question was "Yes", what is the date?
Has the student been suspended from school within the last 2 years?

Yes No
Has the student been arrested or held for questioning within the last 2 years?

Yes No
Is the student on probation?

Yes No
If "Yes" to the last question, what is the case worker's name and phone number?
Applicants who answer "YES" to any of the above questions will be reviewed by Chestnut Ridge Academy's Board before acceptance. Please note that false information on this appliation can result in student expulsion.
Have you received and read a copy of Chestnut Ridge Academy's Registration Policies and Procedures

Yes No
Chestnut Ridge Academy does not and shall not discriminate on the basis of race, color, religion (creed), gender, age, national origin (ancestry), disability, marital status, or military status, in any of its activities or operations. All admission decisions are made after prayerfully considering the best interest of the applicant and the Chestnut Ridge Academy and Satellite Program as a whole. CRA seeks to foster and preserve a positive, Christian atmosphere for all students. Generally, applicants cannot begin until all academic records have been collected from prior schools and a thorough evaluation of those records is conducted. In some unusual circumstances, however, provisional admission may be granted until all records are received by the CRA Director. If provisional admission is granted, parents agree to abide by the final admission decision. I understand and accept all the above conditions on both pages of this application and certify that all information given is true and correct to the best of my knowledge.
Signature

Clear
Fees (All fees must be paid in full at the time of application)

K-8th Grade:
- $85 1st child
- $75 2nd child
- $65 each additional child registering for K-8th grade
9th – 12th Grade:
- $99 1st child
- $85 2nd child
- $70 each additional child registering for 9th – 12th grade
Registration Fee Cap per family - $250

Graduating Senior Fee- $100 (Due at time of application. No discounts apply to this fee.)
Student Fee (Do NOT include graduating senior fee)
Graduation Fee (for high school seniors only)
Total Amount Owed
Please send payment in full to:

Chesnut Ridge Academy

PO Box 49

Fayetteville, TN 37334

When payment is received, you will be notified and we will process your application.
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Chestnut Ridge Academy A Homeschool Umbrella

Student Information

Parent Information

Background Information