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Thank you for your interest in the Academy!

Please fill out the form below and we will contact you shortly regarding your inquiry.

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Parent / Guardian Information
  • First Parent / Guardian
  • Last Name *
  • First Name *
  • Email Address *
  • Gender
  • Cell Phone *
    (Ex: 999-999-9999)
  • Second Parent / Guardian
    (leave blank if not applicable)
  • Last Name *
  • First Name *
  • Email Address *
  • Gender
  • Cell Phone *
    (Ex: 999-999-9999)
Home Address
  • Street Address *
  • City *
  • Country *
  • State *
  • Zip *
  • Home Phone *
    (Ex: 999-999-9999)
  • How Did You Hear About Us? *
    Details:
  • School District of Residence (if "Other" is selected, busing may not be available):

    *
  • Which church do you attend?

  • If you would like to schedule an appointment to tour and speak with the Headmaster, please indicate which day and time suits your schedule best. We try to be as flexible as possible in accommodating our visitors.

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  • Student 1
  • First Name *
    Middle Name
    Last Name *
  • Birthdate
    (mm/dd/yyyy)
    Email Address
    Gender *
  • Grade Level of Interest *
    School Year *
  • Current School
  •  
  • Is There Another Student?
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  • Parent / Guardian Notes
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