2026-2027 Academy Enrollment Application
Please fill out one application for each child you wish to attend. Once you hit SUBMIT, the forms are timestamped and will receive an email stating reception of application by the director within 24 hours. 

Update: Baby Room is full ( with inform by May if we open Monday/Wednesday also)
LIMITED 1's is only taking Monday and Wednesdays
2's are full!
3's are full!
4's are full!
Email *
Child's Name
Child's bday *
MM
/
DD
/
YYYY
Gender of Child
Clear selection
Child's Address 
(Please write as followed: 
123 Example Str., 
Lexington, KY 40509
 *
Parent Name and Relationship *
Parent's Place of Employment *
Parent Email and Contact Phone Number *
Parent two Name and Relationship
Parent Place of Employment
Parent Email and Contact Phone Number
Would  you like to enroll  your child at The Academy for the 26-27 school year? *
Required
Second choice if your day of choice is filled: *
Are you a member of North East Christian Church? (Not a requirement to attend)
Clear selection
I understand and agree that if I withdrawal from the program on or after August 1st, I will be responsible for the September tuition. *
Required
Comments: (i.e. Classroom preference, if your child would like to be placed with a friend, etc.)
A copy of your responses will be emailed to .
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Northeast Christian Church.

Does this form look suspicious? Report

Google Forms