Parkside Christian Academy & Cross Factor Academy

Online Registration

Registration for returning families begins Feb. 1, 2013 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/CFA students are selected on a basis of previous school records and recommendations, if applicable, as well as entrance test scores (grade kindergarten through grade 12). 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 here.

 

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?  If yes, please go to www.factstuitionaid.com to apply.  The deadline is April 1, 2013.
Yes   No
41.
*

How did you hear about PCA/CFA?

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

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

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

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