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Registration

Registration for returning families begins Jan. 4, 2010 and registration for new families are on a rolling basis.

Please complete the following online application form and call us to schedule an appointment for your tour and admissions interview.  PCA students are selected on a basis of a family interview, previous school records and recommendations, if applicable, as well as entrance test scores (grade kindergarten through grade six). The Application, accompanied by a $45.00 registration fee, may be submitted online, by mail or in person when attending the interview.  The $45 registration fee can also be paid online using our Donate button on the Home Page.

 

New Student Application:

1.
*

Academic Year
2.
*

Applying for grade:
3.
*

Student Last Name
4.
*

Student First Name
5.

Student Nickname
6.
*

Gender
Male   Female
7.
*

Date of Birth
8.

Ethnic Background
9.

Primary Language
Use your Ctrl & Shift keys to select multiples.
10.
*

Parent1/Guardian1 Name
11.
*

Relationship to Student
12.
*

Parent1/Guardian1 Street Address
13.
*

Parent1/Guardian1 City and Zip Code
14.
*

Parent1/Guardian1 Home Phone
15.

Parent1/Guardian1 Cell Phone
16.

Parent1/Guardian1 Email Address
17.

Place of Employment
18.

Occupation
19.

Parent1/Guardian1 Work Phone

For Parent2/Guardian2, only enter the information that is different from Parent1/Guardian1.
20.

Parent2/Guardian2 Name
21.

Relationship to Student
22.

Parent2/Guardian2 Street Address
23.

Parent2/Guardian2 City and Zip Code
24.

Parent2/Guardian2 Home Phone
25.

Parent2/Guardian2 Cell Phone
26.

Parent2/Guardian2 Email Address
27.

Parent2/Guardian2 Place of Employment
28.

Parent2/Guardian2 Occupation
29.

Parent2/Guardian2 Work Phone
30.
*

Marital Status of Parents/Guardians
Married   Single   Divorced   Separated   Widowed
31.
*

Student lives with:
Both Parents/Guardians   Mother   Father   Other
32.

If "Other", please indicate here who the students lives with.
33.

Student's Previous School/Location
34.

Reason for Leaving Previous School
35.
*

Does your child have any unique learning needs/abilties that we should be aware of?
Yes   No
36.

If yes, please explain:
37.

Has your child been retained in any grade?
Yes   No
38.

If yes, please give the grade(s) and explanation:
39.

Place of Worship/Denomination
40.
*

Will you be applying for Financial Aid?
Yes   No
41.
*

How did you hear about PCA?

 (1 required)
PCA Parent   PCA Staff
Internet Search   Alumnus/a of PCA
Pastor   Friend
Newspaper   Other
42.

Why are you interested in having your child educated at PCA?
43.

Are you interested in learning more about PCA's Summer Enrichment Program?
Yes   No

Type in the text that you see above:

  

Parkside Christian Academy
215 Forest Hills Street
Jamaica Plain, MA 02130
Phone: 617-522-1841
Fax: 617-524-9583
admissions@parksideca.org

Office Hours: M-F  8:30 am to 5:00 pm

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