2023-2024 Summit Academy Application Packet
Please fill this form out - one per student. After you submit this form, please go back to the email link and complete for additional student(s). Our Summit Academy Staff will review your packet within (10-14) days. You will be notified of your enrollment status. Then, our staff with send you a follow up email with additional information. 
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Student's Name (one application per student) *
Student's Birthday *
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DD
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Student's Grade in Fall 2023
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Does your child require the following services: *
Required
We would like to enroll in: *
Required
Student Resides with *
Gender *
Required
Previous School Attended *
Previous School Email Address
Parent 1 Name *
Parent 1 Cell phone *
Parent 1  Address *
Parent 1 Email Address *
Parent 2 Name *
Parent 2 Cell Phone *
Parent 2 Address *
Parent 2 Email *
Please provide a short testimony explaining your personal relationship with Jesus Christ and how you integrate your faith into your family life. *
 Name of the Church that you attend & Phone number -                    *
Pastor's Name                                                                         *
Denomination                                                                         *
Length of time you have attended *
List any area(s) of ministry in which you are involved. *
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