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Student Information
Address to which all mail is to be sent
Name
*
First
Last
Address
*
Street Address
Address Line 2
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Armed Forces Americas
Armed Forces Europe
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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?
For International Students
Local Address
Street Address
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Country of Birth
Passport Number
Guardian Address
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Antigua and Barbuda
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo, Democratic Republic of the
Congo, Republic of the
Costa Rica
Côte d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
Gambia
Georgia
Germany
Ghana
Greece
Greenland
Grenada
Guam
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Saint Martin
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
Spain
Sri Lanka
Sudan
Sudan, South
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Yemen
Zambia
Zimbabwe
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.
Downloadable PDFs
Tuition Costs 2018 - 2019
Application for Enrollment
CDC
CDC Financial Agreement
CDC Getting to Know You
K8
After Care
Authorized Pickup
High School
Summer Camp
Registration Form
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