T.R.U.T.H. Christian Academy Enrollment Application

Please fill out this form to apply for enrollment. All applications will be reviewed for enrollment consideration.

If your application is accepted, a TCA staff member will contact you for a student interview.

Name *

First

Middle

Last

Birth Date *

Gender *

Male
Female

Grade *

Student Grade Level

Address *

Primary Household (Include Unit # if any)

City *

State *

Zip Code *

Church Attending

Please list the church the student is currently attending, if any.

Primary Household Adult 1 *

First

Last

Adult 1 Gender *

Male
Female

Adult 1 Relationship to Student *

Adult 1 Phone # *

Adult 1 Email *

Primary Household Adult 2

First

Last

Adult 2 Gender

Male
Female

Adult 2 Relationship to Student

Adult 2 Phone #

Adult 2 Email

Emergency Contact *

First

Last

Emergency Contact Phone # *

Comment or Message

Signature and Date *

I hereby verify that the above information is true and correct to the best of my knowledge and belief. I understand that completing this form may enroll my student in T.R.U.T.H. Christian Academy, after the initial student interview, and grants permission to obtain all student records pertaining to my child.