Online Application

Student's Name:
Gender:
Date of Birth (DD/MM/YYYY):
Parents/Guardian's Name:
Home Phone (000-000-0000):
Cell Phone (000-000-0000):
Home Address:


City:
State: Zip:
E-mail Address:
Previous School Attended:
Last Grade Completed:
Learning Difficulties (If Already Identified):

Bethel Christian Academy is a private, not-for-profit educational alternative K-12th grade school and does not receive public funding. We are not supported by any religious church or denomination, but do teach from a Christian perspective. We strive to provide a high standard of education to students regardless of gender, race or cultural background. Our goal is not to indoctrinate, but we do encourage students and families to attend a church of their choice. Applicants, if accepted, agree to abide by the school's rules or be subject to disciplinary action as set by the Student Handbook.

Check this box only if you agree to the above, you verify that all information submitted is correct to the best of your knowledge, and you grant Bethel Christian Academy the right to contact you regarding this information.