“Quality Education in the LIGHT of God’s Word”

Re-Enrollment Form

Re-Enrollment Form K – 11

Student Fees

Per student. All fees are mandatory. *All fees must be paid by first day of school.

Description of Registration Fees

  • Testing Fee – State-mandated annual achievement testing.
  • Technology Fee – Supports the maintenance and replacement of technology equipment and resources.
  • Transportation Fee – Helps cover the maintenance and replacement of school vehicles.
  • ACSI Dues – Annual membership dues payable to the Association of Christian Schools International (ACSI).
  • Activity Fee – Covers free admission for students to all home athletic contests.
Non-refundable
Non-refundable
Non-refundable

Student Information

Student's Full Legal Name(Required)
(K-5 must be prior to July 1st)
Gender(Required)
Ethnicity

Student's Home Address(Required)
Student's Billing Address
(If different from home address.)

Biological/Adoptive Information

PLEASE UPDATE ANY CHANGES IN INFO
Father's Legal Name(Required)
Applicant Lives With(Required)

Mother's Legal Name(Required)
Applicant Lives With(Required)

Step-Parent, Guardian Information if Applicable

Name
Applicant Lives With(Required)

Name
Applicant Lives With(Required)

IN CASE OF EMERGENCY, IN ADDITION TO PARENTS CALL

Name
Name

Grandparent Information

Parental Grandfather
Parental Grandmother
Address
Maternal Grandfather
Maternal Grandmother
Address