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Thank you for your interest in Covenant Christian Academy.

Please complete the information below, and our Director of Admissions will be in touch.

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Parent / Guardian Information
  • First Parent / Guardian
  • First Name *
  • Last Name *
  • Salutation *
  • Email Address *
  • Confirm Email Address *
  • Gender *
  • Cell Phone
  • Second Parent / Guardian
    (leave blank if not applicable)
  • First Name *
  • Last Name *
  • Salutation *
  • Email Address *
  • Confirm Email Address *
  • Gender *
  • Cell Phone
Home Address
  • Street Address *
  • City *
  • Country *
  • State
    *
  • Zip
    *
  • Home Phone
  • How Did You Hear About Us?
    Details:

  • How did you hear about Covenant Christian Academy?
    *
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  • Student 1
  • First Name *
    Last Name *
  • Gender *
  • Grade Level of Interest *
    School Year *
  • Student Interests
  • Current School

  • How can we help you today?
    *
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  • Is There Another Student?
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  • Parent / Guardian Notes
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