Registration - Risen Christ Christian Academy

Student Information

Address to which all mail is to be sent

Name*

First Last

Address*

Street Address Address Line 2 City State ZIP Code

Phone*

Date of Birth*

Gender*

Social Security Number*

Parent's Email*

Student's Email

If applicable

Father/Guardian

Name

First Last

Phone

Occupation/Title

Company

Church Membership

Mother/Guardian

Name

First Last

Phone

Occupation/Title

Company

Church Membership

With whom does the student live?*

Allow photos in all school publications?

Yes
No

Allow photos in all public publications?

Yes
No

Sibling Information

Please include Name, Gender, and Birthday.

How did you hear about Risen Christ Christian Academy?

Who can we thank for referring you to our school?

Persons permitted to pickup student

Other than parents/guardians listed above. Please include name and their relation.

Childcare & Education Information

What grade is your child registering for?

Has your child been in childcare before?

Yes
No

School attended last

How long?

School Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

School Phone

Principal

Reason for leaving

Has your child ever been involved in a remedial class?

Subject

Has your child ever been involved with a tutor?

Subject

Has your child ever been involved in an advanced class?

Subject

Has your child ever experienced any discipline/conduct problems in relation to school suspensions, school expulsions, grade retention, promotions, etc.? If yes, please explain.

Does your child have any special visual, hearing, motor, or other type physiological or psychological difficulty of which we should be aware to most effectively educate your child?

Does your child have any specific allergies?

Is your child on any special medication? If yes, please list.

Is there any specific difficulty your child is experiencing at school?

Financial Agreement

Tuition Amount*

$5,100 (Kindergarten)
$5,400 (Grades 1 - 4)
$5,520 (Grades 5 - 8)
$5,700 (Grades 9 - 12)

Payment Plan Preferred*

One payment in full at enrollment
Two (2) equal payments, one due at enrollment and one on January 10
Ten (10) equal payments by the 5th of each month Aug - May
Twelve (12) equal payments by the 5th of each month July - June

Payment Method Preferred*

Personal check
Debit (ACH) Card automatic payment
Credit Card automatic payment

NOTE: For security purposes, if your payment preference is a Debit (ACH) or Credit card, please complete the Debit/Credit Payment Application form on the Registration page and bring or mail it to the school office. Please note that your application is not complete until the signed form is received.

For International Students

Local Address

Street Address Address Line 2 City State ZIP Code

Country of Birth

Passport Number

Guardian Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Guardian Phone

The above information is true and factual to the best of my/our knowledge. I/we understand that misrepresentation of the student’s past record may be considered grounds for dismissal. I/we give permission for administrative officials of Risen Christ Christian Academy to contact previous schools to verify the above and to discuss the student’s academic, disciplinary and attendance record. I/we hereby obligate myself/ourselves to meet the charges for tuition and fees when due. In consideration for the enrollment of my/our son/daughter to Risen Christ Christian Academy, I/we agree to pay the published tuition for his/her enrollment as a condition precedent to the school’s release of my /our son’s/daughter’s grades each semester. I/we further understand that my/our failure to meet the tuition obligation may mean termination of my/our child’s enrollment at Risen Christ Christian Academy. By signing this application I (we) agree to the financial obligations and understand that all families are required to participate in some of the selected family fund raising activities. By submitting this application I agree to the stated financial policies.

Application for Enrollment

Student Information

Father/Guardian

Mother/Guardian

Childcare & Education Information

Financial Agreement

For International Students

Downloadable PDFs

CDC

K8

High School

Risen Christ Christian Academy

(843) 272-8163

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