registration | Salem Christian Academy

Did you fill out a pre-registration form for your student for 2024-2025 school year?*

Yes
No

Please, select Yes and proceed with the filling out the application.

Today's date*

Student's Full Name*

First Last

Gender*

Male
Female

Address*

Street Address Address Line 2 City State ZIP Code

Completed grade at the end of 2023-2024 year:*

Grade to be registered for 2024-2025 year:*

Date of birth*

Student's age on September 10th 2024:*

Mother's Full Name*

First Last

Cell phone number*

Email*

Father's Full Name

First Last

Cell phone number

Email

Other than parents emergency contact 1*

Relationship*

Phone number*

Other than parents emergency contact 2

Relationship

Phone number

What is the student's primary language?*

Does the student speak English?*

Yes
No

Is the student being transferred from another school?*

Yes
No

Name of the school transferring from*

Finished grade*

School address*

School fax number*

Does the student have any medical issues or allergies?*

Yes
No

Please, explain in detail:*

Do you have any outstanding balance (tuition and/or lunches) for this student for the past 23-24 year?*

No
Yes
I don't know

Please, briefly describe how and when you are going to pay it off.*

PLEASE, CONTACT THE OFFICE TO FIND OUT THE STATUS OF YOUR FINANCIAL STANDING BEFORE THE BEGINNING OF A NEW SCHOOL YEAR.

Please, indicate below how do you plan to cover all the FEES and TUITION expenses.*

Working at school
Working and paying the remainder
Using my accumulated school credit
10 months payment plan (no discount)
9 months payment plan (no discount)
2 times payment (2% discount)
1 time payment (5% discount)

Consent*

Me and my student agree to comply with the Dress Code Policy.*

Consent*

Me and my student agree to comply with the Demerit and Detention Policy.*

To complete the registration process, it is necessary to make a payment for the books till June 10. Please, mark your selection from the options below.

I will pay the deposit ($100 per bookset per student) by the end of May with:*

Check, card or cash
My school credits
I will contact the office to discuss the other available options

WELCOME

TO 2024 – 2025 STUDENT REGISTRATION FORM!