Skip to primary navigation
Skip to main content
Skip to primary sidebar
Skip to footer
Accreditations
Homepage
Features & Tuition
Online
Workbook
Kindergarten
Summer School/Credit Recovery
Who We Are
Parent/Student Resources
Payment Center
Enroll Now!
New Student Application
Re-Enrollment Form
Credit Recovery Application
Contact Us
Request Information
(New Students)
Contact Info
(Current/Former Students)
Christian Academy Of America
Home
Who We Are
Features & Tuition
Online (3rd - 12th)
Workbook (1st - 12th)
Kindergarten
Summer School/Credit Recovery
Enroll
New Student Application
Reenrollment Form
Credit Recovery Application
Summer School / Credit Recovery Application
1
Student Information
2
Previous School Information
3
Parent Information
4
Program Options
5
Parent Agreement
Student Information
Student’s First Name
*
Student's Middle Name
Student's Last Name
*
Students Date Of Birth
*
Date Format: MM slash DD slash YYYY
Gender
*
Female
Male
Last Grade Completed
*
Pre-K
K
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
Current Grade
*
Pre-K
K
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
Please enter any pertinent information concerning your child and his/her educational needs
Course Requested:
Current School Information
Current School Enrolled
*
Address
*
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
Race/Ethnicity
*
American Indian or Alaskan Native
Asian
Black or African American
Hispanic or Latino
Native Hawaiian or Pacific Islander
White
Other
Have you ever been previously enrolled in Christian Academy of America?
*
Yes
No
Parent/Guardian Information
Father’s First Name
*
Father's Last Name
*
Father's Relation to Student
*
Father
Step-Father
Guardian
Mother’s First Name
*
Mother’s Last Name
*
Mother’s Relation to Student
*
Mother
Step-Mother
Guardian
Marriage Status of Parents
*
Married
Single Parent
Divorced
Domestic Partners
Separated**
Legal Guardian First Name
*
Legal Guardian Last Name
*
Legal Guardian Relationship
*
**If separated, both parents/guardians must sign the Parent Agreement at the bottom of this form. The other parent may give consent by email.
Shipping Address
*
Street Address
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Mailing Address
*
Street Address
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Home Phone
*
Mobile Phone
*
Work Phone
Parent Email Address
*
Please Note: The Academy communicates to parents extensively by email. Please, do not use the student's email address.
Do you have a High Speed Internet connection?
*
Yes
No
Curriculum Preference
Program Preference
*
Workbook-style
Combination of Workbook-style and Online (Two course minimum)
Online
Please indicate if you prefer online or workbook curriculum. There are advantages to both. You may even combine the two. In any case, you may want to call and discuss the advantages of either with one of our Education Specialists. The online is available only to students taking two or more online courses.
Registration Fee: (One Time Fee)
*
Kindergarten - 8th grade (Includes Diagnostic Testing & Placement 4th - 8th): $65.00 or 9th - 12th (9th & 10th includes Diagnostic Testing & Placement): $90.00
Tuition Fee
*
Tuition Fee: (See Registration & Fees for options)
Total Fees
*
Registration & Tuition Fees
Payment Details
You may confidently e-mail this Application with your credit card information. If you are not submitting card information, type "N/A" in each field and call the Academy office to pay by phone. C.A.A. does not accept personal checks.
Type Of Card
*
Visa
Mastercard
American Express
Discover
Account #
*
Expiration Date
*
Security Code
*
Name on Account
*
Billing Address
*
Street Address
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
We have reviewed the Student Application and to the best of our knowledge, all information provided is complete and accurate. We understand that a credit recovery or summer school student is not considered to be on the full-time active student roll of Christian Academy of America. We understand that our child is to be under direct adult supervision during coursework time and that the supervising adult has read and understands the Academy policies and procedures as set forth in the Academy Handbook of Instructions. We agree that the supervising adult will submit our responses to the Academy's Required Response Forms that are sent to us via email. We further understand that the supervising adult will require that the student adhere to the Academy procedures, including, but not exclusive of, copying answers from the Score Keys or Test Keys and by keeping the Test Keys in a secure location, or any Program Abuse (cheating). By entering our names in the Signature boxes, We understand and agree with the above statements and also verify the information entered is correct to the best of our knowledge.
Student's Signature
*
Father / Guardian Signature
*
Mother / Guardian Signature
*
Name of Parent, Guardian, or Supervisor responsible to administer this home school program:
If this is a person other than the Parent or Guardian, please provide the relationship to the student:
Christian Academy Of America
TwitterYoutubeFacebookLinkedin