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Student's Full Name (required)
Family Home Phone/Cell Phone (required)
Family Email Address (required)
Birth Date (required)
In case of an emergency, whom should we contact if the father and mother or guardians are unavailable?
Primary Phone (required)
Church Attended (required)
Church Address (required)
Name of Pastor (required)
Is student a member of the church? (required)
Does student attend regularly? (required)
Physician's Name (required)
Medical Insurance Company
Policy Number (required)
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)
Athletic Participation Fee (additional)
Non-participation Fund Raiser Option for Parents (required)
Additional Notes or Comments
"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)
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.