Parent/Guardian Information

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Parent/Guardian Information

Please complete this form and mail application fee ($75 for first student; $50 for each additional student) to:

Canyon Creek Christian Academy
563 Clear Canyon Dr.
Hixson, TN 37343

Please note the name of your student(s) in the memo line on the check.

* Indicates required question

Have you attended an open house or personal tour? *

Yes

No

Father's first and last name *

Your answer

Mother's first and last name *

Your answer

Home Address *

Your answer

Father's email *

Your answer

Mother's email *

Your answer

Father's cell number

Your answer

Mother's cell number *

Your answer

How many students are applying for admission? *

1

2

3

4

5

6

7

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