Re-Enrollment Application

Welcome to the Current Student Re-enrollment online application. This application is for students presently enrolled who desire to return for the next school year. The registration fee of $125 by May 1 must be mailed to the HCA office and is not refundable.

Upon submission, an email will be sent confirming receipt of the application. However, the application will not be considered complete until the application fee has been received at the HCA office.

Please plan on completing this application in one sitting; partial applications cannot be saved and later restored. It should take no longer than 10 minutes to complete this application. After submission, if you need to update or change any information, please contact the HCA office directly.

We value your privacy. All information entered is treated confidentially. For additional information, please view our privacy policy.

Current Student Re-Enrollment

Student Information

Student's Full Name (required) *

Address (required) *

City (required) *

State (required) *

Zip Code *

Family Home Phone/Cell Phone (required) *

Family Email Address (required) *

Birth Date (required) *

Age (required) *

Gender (required) *

Male

Female

Emergency Information

In case of an emergency, whom should we contact if the father and mother or guardians are unavailable?

Name (required) *

Primary Phone (required) *

Secondary Phone

Religious/Denominational Background

Church Attended (required) *

Church Address (required) *

Name of Pastor (required) *

Pastor's Phone *

Is student a member of the church? (required) *

Yes

Does student attend regularly? (required) *

Yes

Medical Information

Physician's Name (required) *

Physician's Phone *

Medical Insurance Company *

Policy Number (required) *

Financial Information

Tuition is paid to SMART Tuition Management Services and can be paid by several methods in a variety of schedules. A completed SMART Tuition Payment Plan Enrollment Form must be submitted to the HCA office before the application will be considered complete. No SMART form is necessary if a family chooses to pay tuition in full by August 1. Full payment qualifies for a 2% discount.

Payment choice (required) *

I/We wish to pay the full year's tuition less 2% by August 1

I/We wish to have the same payment schedule

I/We will submit the SMART Tuition Payment Enrollment Form to the HCA office

Athletic Participation Fee (additional)

Basketball ($220)

Soccer ($220)

Volleyball ($220)

Advantage Program

Additional $1,900 to the student's tuition total

Non-participation Fund Raiser Option for Parents (required) *

I/We wish not to serve in the school-starter work day (add $150)

I/We wish not to serve at the Marathon for Education (add $150)

I/We wish not to serve at the spring Spaghetti Supper (add $150)

By not choosing the above, I/We, the parent(s), are volunteering to serve at each event not marked

Additional Information

Additional Notes or Comments

Agreement

"I hereby pledge to pay my financial obligations to the school on the date due and understand that my children may be asked to withdraw if payments become overdue.

"I give permission for my child to take part in all school activities, including sports and school-sponsored trips away from the school premises.

"I agree to uphold and support the high academic standard of the school by providing a place at home for my child to study and to give my child encouragement in the completion of any homework or assignments.

"I appreciate the standards of the school (Lifestyle Statements, Information Handbook) and do not tolerate a lifestyle that brings dishonor to God and the Word of God, nor disrespect to the personnel of the school. I hereby agree to support all regulations of the school as identified in the Information Handbook and authorize the school to employ such discipline as it deems wise and expedient for the training of my child.

"I understand that the school reserves the right to dismiss any child who fails to comply with the established regulations and discipline or whose financial obligation remains unpaid.

"I am familiar with the Hope Information Handbook (which is updated regularly), and understand the terms stated therein. I commit myself and my student to full compliance with all HCA policies and regulations as identified in the Information Handbook and to full cooperation with school faculty, staff, and administration. I also give permission for pictures or video of me or my student to used for HCA promotions."

Entering my name and today's date below will serve as my electronic signature and affirm that the information provided in this application is true and complete to the best of my knowledge.

Name of Father / Guardian

Name of Mother / Guardian

Today's Date (required) *

Application Submission

Once you have reviewed the information above and are ready to submit the application, confirm that you are a real person with the reCAPTCHA and click the "Submit" button.

You will receive an email confirming the submission of your application. If you cannot find the email, check your inbox's spam folder.

Hope Christian Academy accepts students without regard to race, color, sex, or national or ethnic origin who are willing to abide by its principles and objectives.