Welcome to the Summer Program online application.

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.

Students not currently enrolled at HCA must also fill out the full new student application and complete the interview process in addition to this registration form. For more information, visit our application process page.

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, and only transmitted using industry-standard 256-bit SSL encryption to ensure privacy. For additional information, please view our privacy policy.

Summer Program Registration

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

Grade Last Completed (required) *

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

Session Information

Please indicate which session(s) you are enrolling for (required) *

Session I (dates and time to be announced)

Session II (dates and time to be announced)

Financial Information

$150 Registration and Diagnostic Testing fee due with this application.

$565 Tuition per session payable before the first class.

Additional Information

Additional Notes or Comments

Agreement

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.

reCAPTCHA

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.

Christmas Program

Summer Program Application