Student Details
This application is considered a contract for the entire school year since COAH makes hiring decisions based on enrollment.  If you should withdraw your child after August 1, 2023, you will be subject to an early withdrawal fee in an amount equal to one month’s tuition.
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Email *
Student's Legal First Name *
Student's Legal Middle Name *
Student's Legal Last Name *
Applying for Grade *
Student's Birthdate *
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Student's Sex *
Student's Street Address *
Student's City *
Student's State *
Student's Zip Code *
Describe your student's interests, talents, and abilities *
List testing/services your child has received (IEP, 504, tutoring, etc.)
Does your child need an educational accommodation? *
Please list any serious or chronic health concerns, special needs, or allergies that your student has
If your child ever been suspended or expelled by a previous school please list grade and reason for each infraction.
Name of the church your family/student attends *
Frequency of church attendance *
Pastor's name *
Church's Street Address *
Church's City *
Church's State *
Church's Phone Number *
Has there been a time in your student's life when they have realized their need of Jesus and accepted Him as their personal Savior? *
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