Enrichment Application 2026-27

Parent or Guardian Name/s (first and last)

Parent email

Cell Phone

Home address

Emergency Contact #1 Name

Emergency Contact #1 Phone Number

Emergency Contact #2 Name

Emergency Contact #2 Phone Number

Are you regular attenders/members of a church?

Yes

No

HCA Enrichment adheres to the basic absolutes of the 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.

Student Name (first and last)

Student Age as of September 1, 2026

Does this student have allergies? If so, please describe.

What hobbies/special interests does this student enjoy?

Please scroll down to the Submit Button if only enrolling 1 student.

Student Name

Student Age as of September 1, 2026

Does this student have allergies? If so, please describe.

What hobbies/special interests does this student enjoy?

Student Name

Student Age as of September 1, 2026

Does this student have allergies? If so, please describe.

What hobbies/special interests does this student enjoy?

Applications are subject to approval based on availability. Once approved, an email with payment instructions will be sent. Your spot/s are secured upon payment of deposit.