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Cantata Rehearsal Songs
LIVE STREAM
I'M NEW
WHO WE ARE
STAFF
HOW TO BE SAVED
SERVICES AND LOCATIONS
Visitor Form
MINISTRIES
Academy
Giving
RESOURCES
GET THE APP
The Shady Grove
The Miracle of Sister Yolanda
Calendar
CONTACT
Menu
2023-2024 School Year Student Application
View Handbook
Student's Name
*
First Name
Last Name
Age
*
Date of Birth
*
Last Grade Completed
*
Home Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Parent/Guardian Name
*
First Name
Last Name
Email
*
Phone Number
*
(###)
###
####
Parent/Guardian Name
*
First Name
Last Name
Email
*
Phone Number
*
(###)
###
####
Medical/Health Conditions/Concerns
*
Allergy Chart
Primary Care Physician
*
First Name
Last Name
Preferred Hospital
*
Date
*
MM
DD
YYYY
List Food/Medicine/Other Allergies with treatment to reaction for each allergy (If no allergies put N/A)
*
Release of Shady Grove Academy Information (Completion of this form authorizes Shady Grove Christian Academy to release/discuss the following information about your child(ren))
I hereby authorize:
First Name
Last Name
Relationship:
Only the following information:
Academics/Grades
Allowed to pick-up after school
Behavioral/Discipline Issues
Billing/Tuition
I hereby authorize:
First Name
Last Name
Relationship:
Only the following information:
Academics/Grades
Allowed to pick-up after school
Behavioral/Discipline Issues
Billing/Tuition
I hereby authorize:
First Name
Last Name
Relationship:
Only the following information:
Academics/Grades
Allowed to pick-up after school
Behavioral/Discipline Issues
Billing/Tuition
I hereby authorize:
First Name
Last Name
Relationship:
Only the following information:
Academics/Grades
Allowed to pick-up after school
Behavioral/Discipline Issues
Billing/Tuition
I hereby authorize:
First Name
Last Name
Relationship:
Only the following information:
Academics/Grades
Allowed to pick-up after school
Behavioral/Discipline Issues
Billing/Tuition
Electronic Signature
By entering my name below, I acknowledge that I have read, understood, and will comply with the 2023-2024 Shady Grove Christian Academy Handbook. I understand that my name below also enrolls my child in Shady Grove Christian Academy.
*
Date
*
MM
DD
YYYY
Thank you!
