ACADEMY APPLICATION

Parent / Guardian First Name

Parent / Guardian Last Name

Student First Name

Student Last Name

Grade of Enrollment

Student Birthdate

Student Gender

Phone Number

Email

Address

Apartment, suite, etc.

City

State

Zip/Postal Code

Do you agree to pay our $100 application fee before your student enters our academy?

I have read and agree to the statement above.

Do you agree to pay our $400 enrollment and materials fee before your student enters the academy?

I have read and agree to the statement above.

Do you agree to pay our annual tuition amount of $3600 for the 2026-2027 academic year.

I have read and agree to the statement above.

Do you agree to pay in a single or monthly tuition payment?

I agree to pay a single payment of $3600.

I agree to a monthly payment plan of $400 due on the 1st of the month starting September 2026 and ending in May. 2027.

Do you accept our fees and tuition as your non-refundable responsibility for payment?

I have read and agree to the statement above.

Do you understand and agree that, if your student is accepted, enrollment will not be complete until all required Academy documents have been reviewed, signed, and submitted? These documents include the Parent and Student Conduct Expectations, Statement of Faith acknowledgment, Parent and Student Handbook acknowledgment, liability and medical authorization forms, and any other required enrollment documents.

I have read and agree to the statement above.

Signature