Enrollment Form

New Student Application

School Year(Required)

Enrollment Type(Required)

New Enrollment (Never Attended CA)

Re-Enrollment (Attended CA in the Past)

Grade Level(Required)

Have You Toured Our School?(Required)

Yes

No

If No, Would You Like For Someone To Contact You About Scheduling a Tour?

Yes

No

Student's FULL Name(Required)

First Middle Last Suffix

Preferred Name(Required)

Home Mailing Address(Required)

Street Address Address Line 2 City State ZIP Code

Home Phone(Required)

Age(Required)

Please enter a number from 2 to 20.

Birth Date(Required)

Gender(Required)

Male

Female

Most Recent Grade Attended at CA(Required)

Do You Currently Have Any Children Attending CA?(Required)

Yes

No

Previous School Information

School Attended Last Year(Required)

Phone Number of School(Required)

Address of School(Required)

Street Address City State ZIP Code

Parent / Guardian

FATHER'S Name(Required)

First Last

Employer(Required)

Business Phone(Required)

Cell Phone(Required)

Email(Required)

MOTHER'S Name(Required)

First Last

Employer(Required)

Business Phone(Required)

Cell Phone(Required)

Email(Required)

If Parent's are separated or divorced, with whom does the child live?

Please List 3 References From Families At CA

(If You Do Not Have Any Please Skip)

Emergency Information

Emergency Contact Name(Required)

First Last

Cell Phone(Required)

Relationship to Child(Required)

Payment Plan(Required)

Ten Month (Aug 1- May 1)

Twelve Month (June 1- May1)

Bus Registration(Required)

Yes

No

Name

This field is for validation purposes and should be left unchanged.

New Student Application

Previous School Information

Parent / Guardian

Emergency Information

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