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Request Information

Thank you for your interest in our school!  This form is to gather information about a family interested in future enrollment at Christ Academy so that we can provide information for your specific needs. 

If you are searching for information in an area other than admissions, please call Christ Academy at 940-692-2853.

* Indicates a required field.

  • Parent/Guardian Information
  • *First Parent/Guardian
  • Salutation *
    First Name *
    Last Name *
  • Email Address *
    Gender
    Male    Female
  • Cell Phone
    (Ex: 999-999-9999)
  • Second Parent/Guardian
  • Salutation
    First Name
    Last Name
  • Email Address
    Gender
    Male    Female
  • Cell Phone
    (Ex: 999-999-9999)
  • How Did You Hear About Us? *
    Details:
  • Home Phone
    (Ex: 999-999-9999)
  • Street Address
  • City
  • Country
  • State
  • Zip
  •  
  • Student 1
  • First Name *
    Last Name *
  • Birthdate *
    (mm/dd/yyyy)
    Gender
    Male    Female
  • Grade Level of Interest *
    School Year *
  • Current School
       Other:
  •  
  • Is There Another Student? Yes No
  •  
  • Parent/Guardian Notes
  •