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Rural Community Academy Application for Admission (Enrollment for New Students)
Please complete a separate application for each child. Once submitted, you will be contacted by the RCA office with further registration instructions.
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* Indicates required question
Email
*
Your email
Name of Parent or Guardian:
*
Your answer
Child's Full Name (first, middle, last)
*
Your answer
I am enrolling my child for:
*
RCA School (daily attendance at RCA)
RCA Online (daily attendance online from home, option available for 1st-8th grade only)
How did you hear about us?
*
Facebook
Radio
Online Ad
TV
Word of Mouth
Staff Member Referral (Please check "other" as well, and list the staff member's name.)
Current RCA Family Referral (Please check "other" as well, and list the RCA family's name.)
Other:
Required
Ethnicity (please select all that apply):
*
White
Black or African American
Native Hawaiian or other Pacific Islander
Asian
Hispanic or Latino
Required
Grade:
*
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
Date of Birth:
*
MM
/
DD
/
YYYY
Siblings currently attending RCA: (please list names and grade level for the upcoming school year)
*
Your answer
Siblings currently NOT attending RCA:
*
Your answer
Mailing Address:
*
Your answer
Phone Number:
*
Your answer
I am interested in bus transportation:
*
Yes
No
Maybe
Do you have any concerns you would like to address with our staff at this time? If none, please type: N/A
*
Your answer
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