Signature Page
We the undersigned parent/guardian and student have visited the TJCA-CFA website, read and agree to abide by ALL the policies below outlined in the Parent/Student Handbook (https://policies.tjca.org/student-handbook).

Should you have any questions or concerns about any of these policies, please call the office. Junior High/High School: 828-657-9998 Grammar School: 828-245-9526

Student's Name (Last, First) *
Your answer
Grade (Use 0 for Kindergarten) *
Your answer
Campus *
Date *
MM
/
DD
/
YYYY
Parent/Guardian Name *
Your answer
Parent/Guardian Email Address *
Your answer
Parent/Guardian Telephone# *
Your answer
Parent/Guardian Cell Phone# *
Your answer
Second Parent/Guardian Name
Your answer
Second Parent/Guardian Email Address
Your answer
Second Parent/Guardian Telephone#
Your answer
Second Parent/Guardian Cell Phone#
Your answer
Student Address *
Your answer
City *
Your answer
State *
Zip *
Your answer
Student Mailing Address (if different from above)
Your answer
Supplement Accident Insurance *
*** Must enroll online. (www.kandkinsurance.com)
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