Faith Christian Academy

2026-2027 Student Registration - Page 1

The following documentation will be required prior to enrollment to FCA:

Birth Certificate
Social Security Card
Immunization Record
Registration Fee
2 letters of recommendation (for new registrants) emailed to: faith36274@gmail.com

We do not currently serve lunch in our cafeteria. The parent/guardian should provide snack and lunch daily for their child. We have a drink machine in the lunchroom and offer a variety of items on our snack cart.

EVERY FIELD ON THIS FORM IS REQUIRED IN ORDER FOR YOUR REGISTRATION TO BE COMPLETE. ALL SIGNATURE AREAS MUST BE SIGNED. IF THE FORM ISNT COMPLETED ACCURATELY YOU MAY BE ASKED TO FILL IT OUT AGAIN.

Student/Parent Information

Student Full Name (First, Middle, Last)

Student Date of Birth

Month

Day

Year

Age

Sex

Social Security Number

Grade to Enter

Student Lives With:

Both Parents

Mother

Father

Other

Please list any illnesses, allergies, medical issues or treatments that your student has. Write NA if none.

Name of Church Family Attends:

Mother/Legal Guardian Full Name

Mother's Full Address

Mother/Legal Guardian Phone Number

Mother/Legal Guardian Email

Mother's Place of Employment

Mother's Work Phone Number

Father/Legal Guardian Full Name

Father's Full Address

Father/Legal Guardian Email

Father/Legal Guardian Phone Number

Father's Place of Employment

Father's Work Phone Number