Enrollment Application 2020 – 2021

    Academic Achievement Accessible Scholarship Foundation (AAA)

    Other Children Living in the Home



    (List 3 neighbors or relatives who will assume temporary care of your child if parents can’t be reached)

    PARENTAL CONSENT (must be signed at the bottom of page)

    Emergency Care and Pick-up Permission:

    In case of accident or serious illness, I request that the school contact me. If the school is unable to reach me, I authorize the school to make whatever arrangements deemed necessary.

    School Health Services:

    I request that my child participate in any health appraisal activities conducted in school by a Public Health Nurse. The activities may include screening for vision and hearing problems and scoliosis. I understand that there is no charge for these services.

    Statement of Non- Discriminatory Policy

    I have been informed that CPCA admits students of any race, color, national, and ethnic origin to all rights, privileges, programs and activities generally accorded or made available to students at the school.

    Concerning special services received must be attached to the application form to be placed on the school waiting list. At enrollment time copies of the following items must be submitted: Birth certificate, Immunization records, Physical exam and social security card. There is a fee for cancellation or withdraw of your child before the End of school year.

    Central Pointe Christian Academy complies with applicable State law that prohibits discrimination against a student in the full utilization of or benefit from the School, or the services, activities, or programs provided by the School because of race, color, national origin, or sex. There is a $500 withdraw /cancellation fee before December and $450.00 after December and I agree to pay it when I sign this form.