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Christian & Classical Education
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Student First Name
*
Student Last Name
*
Preferred Name
School Year
*
2026-27
Date of Birth
*
Month
Day
Year
Gender
*
Grade Level
*
Parent/Guardian 1 First Name
*
Parent/Guardian 1 Last Name
*
Relationship to Student
*
Street Address
*
City
*
Zip Code
*
Email
*
Phone
*
Parent/Guardian 2 First Name
Parent/Guardian 2 Last Name
Relationship to Student
Address (if different than above)
Email
Phone
Why are you interested in HCA for your student?
*
Are you planning to enroll this student in our half-day Enrichment program?
*
Yes
No
Has this student ever received educational testing?
*
Yes
No
If yes, what were the results of this testing? (i.e. - an IEP or 504 plan, etc)
Has this student ever received educational services including speech, reading or math interventions, etc?
*
Yes
No
If yes, please share more about which services and when.
Is your student on prescription medication?
*
Yes
No
If yes, please share the medication and the condition.
Does this student have any allergies?
*
Yes
No
If yes, please describe the allergy/allergies.
What school is your student currently attending?
*
We are a hybrid school, which means we partner with parents in the education of their children. What does this mean to you and how will this fit into your family's lifestyle and schedule?
*
What church does your family attend?
*
How is faith in Christ expressed within your family?
*
HCA adheres to the basic absolutes of Christian doctrine. Please read our Statement of Faith found on the About page of our website and confirm below.
*
I have read and support HCA's Statement of Faith.
The Application Fee is $100 for the 1st student and $50 for each additional student. Only pay 1 fee per application.
Application Fee
$100
Additional Student (choose this if you have already submitted one application)
$50
Submit
HCA Application
2026-27
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