Admissions Application to United Christian Academy

Enrolled Pupil(s)

______________________________________________________________

Last name

First

Middle

Birthdate

Grade

Sex

______________________________________________________________

Last name

First

Middle

Birthdate

Grade

Sex

______________________________________________________________

Last name

First

Middle

Birthdate

Grade

Sex

______________________________________________________________

Last name

First

Middle

Birthdate

Grade

Sex

______________________________________________________________

Last name

First

Middle

Birthdate

Grade

Sex

Father_________________________________________________________

Last name

First

Middle

Occupation

Address________________________________________________________

Home Phone______________________Work Phone_____________________

Mother_________________________________________________________

Last name

First

Middle

Occupation

Address________________________________________________________

Home Phone______________________Work Phone_____________________

EMAIL ADDRESS:________________________________________________

List any resources that helped you learn about homeschooling. (People you have
talked to, books you have read, or research you have done on the internet)

Why do you think homeschooling is the best option for your family?

What aspects of homeschooling are you most looking forward to?

What areas of homeschooling are you hoping to receive the most support in?

What hobbies, knowledge, expertise, or interests would you be willing to share with
the school, if any?

Send your $25 application fee to United Christian Academy
Mail to United Christian Academy, P.O. Box 393, Scottsboro, AL 35768

We the parents understand that we are responsible for our children at all times
during any school activities, including the resource center. We understand that
United Christian Academy is not liable for any accidents or mishaps that may occur.

Mother/Legal Guardian Signature_____________________________________________

Father/Legal Guardian Signature____________________________________________
Date: ______________________