CONNECT Christian Academy 2020/2021 Registrations
The time stamp on this form will mark your place on our registration list. A follow up email will be sent including the official registration form. Registration forms must be submitted within 24 hours of our return email in order to secure your place in line. Full-time registrations will be processed first. Spots are limited and families will be contacted to confirm placements asap. Rates are available on the registration form.
Parent's First Name
Parent's Last Name
Best Contact Phone #
Child's First Name
Child's Last Name
Child's Date of Birth
Infants (age 8 weeks - 12 months)
One Years Old (must be walking and age 1 by 9/1/2020)
Two Years Old (age 2 by 9/1/2020)
Three Years Old (age 3 by 9/1/2020)
VPK with State Voucher (age 4 by 9/1/2020)
Other, please explain in comment section
Full-time, 5 days, Monday - Friday (7:00am - 5:30pm)
Full-time, 3 days, Monday, Wednesday, Friday (7:00am - 5:30pm)
Full-time, 2 days, Tuesday, Thursday (7:00am - 5:30pm)
Part-time, 5 days, Monday - Friday (9:00am - 1:00pm)
Part-time, 3 days, Monday, Wednesday, Friday (9:00am - 1:00pm)
Part-time, 2 days, Tuesday, Thursday (9:00am - 1:00pm)
Do you have another child currently enrolled with CONNECT Christian Academy?
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